AGE DIFFERENCE IN CERVICAL NEOPLASIA DISTRIBUTION AMONG WOMEN ATTENDING A HOSPITAL

BASED AND PERIPHERAL SCREENING PROGRAMMES

Dr.Kalavathy Mathurchennath1, Saritha.V.N, Sujathan.K, Preethy Sara George

1 Assistant Professor, Regional Cancer Centre, Trivandrum, Kerala, India

Background• Cervical cancer continues to be the second

common malignancy among females of India and Kerala, the rate of which is around 8/100,000/year in Trivandrum

• Regional Cancer Centre (RCC), Trivandrum, India, runs two parallel cervical cancer screening programmes. One regular pap screening in a tertiary Women & Children Govt hospital, Trivandrum(Group1) and second a peripheral screening programme in different Govt Primary Health Centres (PHC) of Trivandrum (Group2)

Objective

• To see the difference in incidence and age distribution of cervical neoplasia among women attending hospital based and peripheral screening programmes

Methodology

• Hospital based screening programme conducted regularly twice in a week in the Govt Women & Children Hospital, Tycaudu, Trivandrum

• Women attending the Gynaec OPD are subjected for routine pap Smear examination

Methodology …..cont..

• Peripheral screening programmes are conducted in 1-2 Govt PHCs in a week. All PHCs in the district are expected to be covered within a period of 18 months.

• The women for the Pap Smear screening are motivated by the Accredited Social Health Activist (ASHA) female workers.

Methodology.. Cont…

• For both Group1 and Group2, the Pap Smear collection is done by the same team of health staff from RCC.

• Socio demographic details of each woman subjected for Pap smear is collected as a routine in all the cases.

Results

• Data of a total of 4991 women from Group1 and 3033 from Group2 were analysed

• .32% of Group1 and .36% of Group2 had Low grade Squamous Intraepithelial Lesions (LSIL)

• The mean age of incidence of LSIL was 45 in Group1 and 44 in Group2

Results ..cont..

• The incidence of Highgrade Squamous Intraepithelial Lesions (HSIL) was 1.1% in Group1 and .32% in Group2.

• The mean age of incidence of HSIL was 54.65 in group1 and 43.3 in Group2 and this difference was statistically significant (p value .014)

Discussion

• The almost same LSIL incidence in both groups is expected and the mean age of incidence is also same

• The hospital group has a higher incidence of HSIL as it expected from a high risk group.

• The mean age of incidence of HSIL is significantly lower among the peripheral screened population . This has a great public health importance as it helps to detect asymptomatic women with HSIL who have never been to a hospital at an early age and get treated and arrest the development of cervical cancer