Papanicolaou, abnormal results at the Hospital General Isidro Ayora de Loja-Ecuador

Abstract

Cervical cancer is the fourth most frequent neoplasm affecting women around the world, thanks to the implementation of screening through the Papanicolaou (PAP) test. The study aimed to determine the most prevalent cervical cytological abnormality in women who underwent the Pap test at the General Hospital "Isidro Ayora" of Loja during the period January-December 2019, as well as to indicate their age and place of residence, and gynecological-obstetric history according to the type of abnormality presented. This is a descriptive, quantitative, retrospective study. The universe was 3774 PAP tests, of which 335 reported cytological abnormalities. Atypical squamous cells of undetermined significance "ASC-US" was the cytologic abnormality that prevailed (60%), most women resided in the urban area of the province of Loja (49. Most women resided in the urban area of the province of Loja (49.6%), their age was 51 years or older (29%), their sexual debut was at 19 years of age or before (79.1%), with a number of pregnancies of 4 or more as well as births (53.1% and 44.2%, respectively), they used contraceptive methods (41.5%), and 77% had had a previous PAP test. Women who were older, residing in urban areas, whose sexual debut was at an early age, multigravid and multiparous, who did not use any contraceptive method and reported having had a previous PAP, were those in whom cervical cytological abnormalities prevailed, predominantly ASC-US lesions, followed by LIEBG in all of them.