Zeynep Kamil Kadın Doğum Ve Çocuk Hastanesindeki 50,645 Servikal Smear Sonucunun Değerlendirilmesi

Amaç: Servikal kanser dünyada kadınlar arasında en yaygın ikinci kanserdir ve gelişmekte olan ülkelerde, meme kanserinden sonra, kadınların malignitelerden ölümlerinin en sık nedeni olduğu düşünülmektedir. Erken dönemde tanısı için, Pap smear testi yaygın şekilde kullanılmaktadır. Bu çalışmada bölümümüzdeki servikal smear sonuçlarını değerlendirmeyi, bulgularımızı yine bölümümüzde, 2000-2005 yılları için yapılan benzer bir çalışmayla karşılaştırmayı ve literatür bilgileri eşliğinde tartışmayı amaçladık.Gereç ve Yöntem: Ocak 2012 - Şubat 2016 arasındaki 50.465 Pap smear sonucunu geriye dönük olarak inceledik.Bulgular: Ortalama hasta yaşı 44 idi. Sitopatolojik inceleme sonuçlarında 7200 (%14) inflamasyon, 988 (%1.95) ASCUS, 187 (%0.37) ASC-H, 370 (%0.73) LSIL, 130 (%0.25) HSIL, 41 (%0.08) AGC, 3 skuamöz hücreli karsinom, 2 adenokarsinom saptandı. Atipik skuamöz hücrelerin (ASCUS ve ASC-H), skuamöz intraepitelyal lezyona oranı 2.35 idi.Sonuç: Çalışmamızda servikal sitolojik anormalliklerin oranı %3.4 tür. Türkiye'den birçok farklı sonuç bildirilmiştir. Gerçek yaygınlığı saptamak için daha geniş vaka serileriyle daha çok çalışmaya ihtiyaç vardır.

Evaluation of 50.465 Cervikal Smear Results in Zeynep Kamil Maternity And Pediatric Research And Training Hospital

Objective: Cervical cancer is the second most common type of cancer among women worldwide and considered to be the major cause of death from malignancy in women in developing countries after breast cancer. To detect cervical cancer at very early stages, Pap smear test is used widely.In this study we aimed to evaluate the cervical smear results of the women in our department and to compare with the results of a similar study that had been done for the years 2000-2005 and to discuss in the light of the literature.Material and Method: We performed a retrospective research on 50.465 Pap smear results between January 2012 and February 2016.Conclusion: The prevalence of cervical cytological abnormalities in our study was %3.4. Many different results were published from Turkey. To determine the real prevalence, more studies with larger numbers are needed.

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