Fairuz, Fairuz and Hasna, Dewi and Syauqy, Ahmad (2022) Cytopathological Features of Cervical Smear In Muaro Bulian Health Centre, Batang Hari District, Jambi Provence, Indonesia. In: The 3rd International Conference of JAMHESIC Jambi Medical and Health Science International Conference, Nov 15th 2022, Jambi. (In Press)
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Abstract
Cervical cancer is still the cancer with the second largest number of sufferers after breast cancer in Indonesia. According to the World Cancer Observation (Globocan), in Indonesia there were 36,633 new cases and 21,003 deaths from this cancer in 2020. There are 50 cases detected every day with more than two deaths every hour. One of the important efforts in reducing the occurrence of cercival cancer-which is closely related to high-risk Human papillomavirus (HPV) infection, is education to increase awareness in the community, especially those who are already sexually active to routinely conduct early detection tests. In Indonesia, HPV subtypes 16,18,45 and 52 are high-risk types that are quite widely found. Early detection of current cervical cancer includes IVA (Visual inspection of acetic acid), papsmear, and HPV DNA. The Pap smear test (cervicovaginal cytology screening test) is currently the standard of care for screening for preneoplastic and neoplastic cervical diseases. Regular examination of cervical smear can reduce cancer deaths by as much as 40%, especially in women over 50 years of age. In populations with extensive screening coverage, the incidence of cervical cancer drops to 70-90%, while in populations without screening, the incidence of cervical cancer continues to be in initial conditions. Detection of abnormal epithelial cells according to the Bethesda system guidelines is a system used in detecting precancerous lesions in cervical smear. Community service activities have been carried out in August 2022, including counseling and pap smear examinations at Puskesmas Muara Bulian, Batang Hari district. This service was expected to increase the awareness of productive women to have routinely checked to reduce mortality caused by cervical cancer. Objective This study aims to describe cytopathology of cervical smear in sexually active women at Puskesmas Muara Bulian, Batang Hari district, Jambi province. Methods The data were collected from 29 women respondents who were residents of the area of Puskesmas Muara Bulian. Pap smear examination is carried out on women who are married or have had sex in the age range of 20-60 years and meet the requirements. Pap smear test requirements are those who are not menstruating and O. 13 27 have not had sex with their partner within 2 x 24 hours. Clinical characteristics assessed were age, parity, type of contraception used, and type of infection while cytopathological variables with abnormalities of epithelial cells according to Bethesda classification were Negative for Intraepithelial Lesion (NILM), Atypical Squamous Cell of Undetermined Significance (ASCUS), Low Grade Squamous Intraepithelial Lesion (LSIL), High grade squamous Intraepithelial Lesion (HSIL), Squamous cell carcinoma and Glandular Cell Abnormalities. Cervical smear samples were taken to Anatomical Pathology Laboratory in Faculty of Medical and Health Science of Jambi University to be read and assessed by pathologist. Results The average age was 43.5 years with 22 or 75.8% multipara. Based on whether they used contraception and the type, most respondents (22 or 75.8%) did not use any contraceptive method. There were 9 or 31.0% menopausal patients and 20 or 69.0% nonmenopausal patients. Based on the age of menarche, it was found that the most menarche age occurred at the age of >12 years, namely 27 or 93.1%. Most respondents had no history of gynecology (24 or 82.7%) and had no history of risky relationships (27 or 93.1%) and no smoking history (28 or 96.5%). Based on the complaint, the most complained of is vaginal discharge (7 or 24.1%). Based on localized status 1 or 3.4% with fluor albus, 2 or 6.9% with erosion portion, and 26 or 89.6% patients had no findings. Cytopathological results obtained based on the three highest order are as follows; 10 or 34.4% with non-specific chronic cervicitis NILM (CKNS-NILM), 9 or 31.0% patients with Negative for Intraepithelial Lesion or Maglinancy (NILM), and 6 or 20.6% with Atypical Squamous Cell of Undetermined Significance CKNS (ASCUS-CKNS). Conslusion According to the results of community service in Puskesmas Muara Bulian, Batang Hari district, Jambi, Indonesia, the following conclusion are; the population was very enthusiastic to participate in this activity, even though there were several women in productive age who were afraid of pap smear examination, the population that participated in pap smear program was in the age range of 20-60 years, mostly were multiparous and did not use any contraceptive method and the results of pap smear cytopathology were mostly negative for intraepithelial lesion or malignancy (NILM) with non-specific chronic cervicitis. Keywords: cervical cancer, pap smear Corresponding author: Fairuz, Department of Histology and Anatomical Pathology, Faculty of Medical and Health Science, Jambi, E-mail: fairuz.quzwain@gmail.com.
| Type: | Conference (Paper) |
|---|---|
| Subjects: | R Medicine > RZ Other systems of medicine |
| Divisions: | Fakultas Kedokteran dan Ilmu Kesehatan > Kedokteran |
| Depositing User: | Fairuz |
| Date Deposited: | 05 Dec 2022 02:51 |
| Last Modified: | 05 Dec 2022 02:51 |
| URI: | https://repository.unja.ac.id/id/eprint/41493 |
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