Cytological pattern of pelvic inflammatory disease (PID) cases with its histopathological correlation in premalignant lesion
Introduction: Pelvic Inflammatory Disease (PID) is the most prevalent in Indian women associated with Non specific inflammation predominantly. It is more common in developing countries due to improper hygiene. So the present study was aimed to study the cervical cytology associated with PID.
Materials and Method: This study was carried out in the department of pathology, Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidhyapeeth University. All the Pap smear done for PID cases during the period of January 2014 to December 2015 were collected and analysed.
Results: Out of 330 pap smear, higher incidence of PID were observed in third and fourth decades of life. Out of 330 smears, nearly 80% of the cases show non-specific inflammation. The most common presenting complaints are vaginal discharge (82%) followed by pelvic pain (61%) and bleeding per vagina(24%). Out of 330 pap smear, 7.5% cases accounts for Candidial infection, Trichomonas and Bacterial vaginoses accounts for 3% each and Low Grade Squamous Intraepithelial Lesion(LGSIL) accounts for 3.5% of cases.
Conclusion: This study reveals the incidence of infections and pre-malignant lesions associated with PID. So it implies the significance of the cervical cancer screening among the rural women to detect the early lesions in cervical cancer.
Keywords: PID, Pap smear, Squamous intraepithelial lesion