Cytological pattern of cervical pap smears in a teaching hospital in southern Nigeria
Background: Cervical cancer, the most common female genital tract malignancy, remains a serious public health problem, particularly in low and middle-income countries where organized screening programs or services are either non-existent or rudimentary. Cervical cancer can be prevented by the detec...
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| Format: | Article |
| Language: | English |
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Nigerian Medical Association, Akwa Ibom State Branch
2025-07-01
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| Series: | Ibom Medical Journal |
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| Online Access: | http://ojs.ibommedicaljournal.org/ojs/index.php/imjhome/article/view/711 |
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| author | Abasiattai AA Nwafor CC Tobin EA Utuk NM |
| author_facet | Abasiattai AA Nwafor CC Tobin EA Utuk NM |
| author_sort | Abasiattai AA |
| collection | DOAJ |
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Background: Cervical cancer, the most common female genital tract malignancy, remains a serious public health problem, particularly in low and middle-income countries where organized screening programs or services are either non-existent or rudimentary. Cervical cancer can be prevented by the detection and effective treatment of precursor premalignant cervical lesions.
Aim: To determine the prevalence and pattern of cervical cytological abnormalities in the University of Uyo Teaching Hospital, Nigeria.
Methods: The results of all cervical smears that were collected and processed at the Pathology Laboratory of the University of Uyo Teaching Hospital over 5 years were reviewed.
Results: A total of 497 smears were analysed. The majority of the patients were 40-49 years (35.2%). There were cervical cytological abnormalities in 11.1% of the patients, with low-grade squamous intraepithelial lesions (LGSIL) (49.1%) and high-grade squamous intraepithelial lesions (HGSILs) (18.2%) being the most predominant. About 90% of the patients with HGSILs were between 40 and 59 years, while 5.5% of the intraepithelial abnormalities were malignant.
Conclusion: The prevalence of cervical epithelial cell abnormalities in our study is relatively high, with most of the women presenting for screening late in their reproductive lives. Our findings reinforce the need for all women in our environment to begin cervical cancer screening early, and underscores the need and importance of establishing a National cervical cancer screening program to enable early detection of premalignant cervical lesions and their prompt treatment.
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| format | Article |
| id | doaj-art-5c5536c172c242d0bc775ad348d083c0 |
| institution | Kabale University |
| issn | 1597-7188 2735-9964 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Nigerian Medical Association, Akwa Ibom State Branch |
| record_format | Article |
| series | Ibom Medical Journal |
| spelling | doaj-art-5c5536c172c242d0bc775ad348d083c02025-08-20T04:02:01ZengNigerian Medical Association, Akwa Ibom State BranchIbom Medical Journal1597-71882735-99642025-07-0118310.61386/imj.v18i3.711Cytological pattern of cervical pap smears in a teaching hospital in southern NigeriaAbasiattai AA0Nwafor CC1Tobin EA2Utuk NM3Department of Obstetrics/Gynaecology, University of Uyo, NigeriaDepartment of Histopathology, University of Uyo, NigeriaInstitute of Viral and Emergent Pathogens, Irrua Specialist Teaching Hospital, NigeriaDepartment of Obstetrics/Gynaecology, University of Uyo, Nigeria Background: Cervical cancer, the most common female genital tract malignancy, remains a serious public health problem, particularly in low and middle-income countries where organized screening programs or services are either non-existent or rudimentary. Cervical cancer can be prevented by the detection and effective treatment of precursor premalignant cervical lesions. Aim: To determine the prevalence and pattern of cervical cytological abnormalities in the University of Uyo Teaching Hospital, Nigeria. Methods: The results of all cervical smears that were collected and processed at the Pathology Laboratory of the University of Uyo Teaching Hospital over 5 years were reviewed. Results: A total of 497 smears were analysed. The majority of the patients were 40-49 years (35.2%). There were cervical cytological abnormalities in 11.1% of the patients, with low-grade squamous intraepithelial lesions (LGSIL) (49.1%) and high-grade squamous intraepithelial lesions (HGSILs) (18.2%) being the most predominant. About 90% of the patients with HGSILs were between 40 and 59 years, while 5.5% of the intraepithelial abnormalities were malignant. Conclusion: The prevalence of cervical epithelial cell abnormalities in our study is relatively high, with most of the women presenting for screening late in their reproductive lives. Our findings reinforce the need for all women in our environment to begin cervical cancer screening early, and underscores the need and importance of establishing a National cervical cancer screening program to enable early detection of premalignant cervical lesions and their prompt treatment. http://ojs.ibommedicaljournal.org/ojs/index.php/imjhome/article/view/711Pap smearcervical screeningintraepithelial lesionabnormal cervical epithelial cellscervical cancerUyo |
| spellingShingle | Abasiattai AA Nwafor CC Tobin EA Utuk NM Cytological pattern of cervical pap smears in a teaching hospital in southern Nigeria Ibom Medical Journal Pap smear cervical screening intraepithelial lesion abnormal cervical epithelial cells cervical cancer Uyo |
| title | Cytological pattern of cervical pap smears in a teaching hospital in southern Nigeria |
| title_full | Cytological pattern of cervical pap smears in a teaching hospital in southern Nigeria |
| title_fullStr | Cytological pattern of cervical pap smears in a teaching hospital in southern Nigeria |
| title_full_unstemmed | Cytological pattern of cervical pap smears in a teaching hospital in southern Nigeria |
| title_short | Cytological pattern of cervical pap smears in a teaching hospital in southern Nigeria |
| title_sort | cytological pattern of cervical pap smears in a teaching hospital in southern nigeria |
| topic | Pap smear cervical screening intraepithelial lesion abnormal cervical epithelial cells cervical cancer Uyo |
| url | http://ojs.ibommedicaljournal.org/ojs/index.php/imjhome/article/view/711 |
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