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Histopathological study of cervical lesions: a hospital based study in teaching hospital Batticaloa, Sri Lanka

Authors:

M. Thirukumar ,

Eastern University, LK
About M.
Department of Clinical Science, Faculty of Health Care Science
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S. Ahilan

Teaching Hospital, Batticaloa, LK
About S.
Consultant pathologist
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Abstract

The uterine cervix is prone for infections and malignancies. The cervical cancer is fourth most common cancer in the world and second common female cancer in Sri Lanka. This hospital based retrospective study was done on 586 cervical specimens. This study was aimed for the histomorphology patterns of cervical lesions. Results; There were 10.2% malignant cases and 68.90% were non-neoplastic cervical specimens. Majority of the non- neoplastic cervical lesions were inflammation and polyp, constitute 37.2% and 17.7% of the total study samples. Majority of patients with cervical carcinoma (36.5%) presented with blood-stained, whitish per vaginal discharge and it is followed by (32.7%) abnormal uterine bleeding. The peak age incidence of cervical cancer was 50-59 years. Squamous cell carcinoma was by far the most common histological type accounting for 84.6%, followed by adenocarcinoma 11.5%. Squamous cell cervical carcinoma classified according to Broder’s grading system into well, moderately and poorly differentiated at the time of initial diagnosis and constituting cases as 20%, 71.1% and 8.9% respectively. The chronic nonspecific cervicitis was the most common inflammatory lesion constituting 86.2% of nonneoplastic cases.

 

The main presenting complaints of blood-stained vaginal discharge or abnormal uterine bleeding, especially in the age group of 50-59 years, should be investigated to exclude malignancy. Public health education should be intensified to encourage early health seeking behavior in order to diagnose cervical malignancy at an early age especially when they have clinical symptoms of blood-stained vaginal discharge or abnormal uterine bleeding.
How to Cite: Thirukumar M, Ahilan S. Histopathological study of cervical lesions: a hospital based study in teaching hospital Batticaloa, Sri Lanka. Jaffna Medical Journal. 2020;32(2):34–9. DOI: http://doi.org/10.4038/jmj.v32i2.105
Published on 31 Dec 2020.
Peer Reviewed

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