Examination of Pap Smear as A Screening Lesion of Cervical in Muaro Pijoan Village Working Area of Puskesmas Sungai Duren, Muaro Jambi District, Jambi Provence

Abstract

Cervical cancer is a primary savage tumor that comes from squamous epithelial cells. It is the second killer after mammary cancer for women in developing countries including Indonesia. The incidence of cervical cancer in Indonesia increases that causes woman death in their productive age. Pap smear is one of method of cancer screening which is efficacious, simple, and cost effective. By applying pap smear in developing countries, the incidence of invasive cervical cancer has been reduced around 46-76% and the mortality has been declined around 50-60%. This study aims to describe clinic ocytopathology of pap smear in Muaro jambi village, Muaro Jambi district, Jambi province. This is prospective descriptive observation study at Pathology Anatomic Department of Medical Faculty, Jambi University. The data was obtained from all women that have been examined for pap smear in the public health Sungai Duren, Muaro Jambi district in July 2018. The range distribution of patients was found in 22.00-62.00 years old, multiparty woman (75.0%) with cervical chronic non specific (37,0%) and Negative for Intraepithelial Lesion (NILM) (34,0%), 20 woman with Atypical Squamous Cell of Undetermined Significance (ASCUS), 1 woman with Low Grade Squamous Intraepithelial Lesion (LSIL) and 1 woman with High Grade Squamous Intraepithelial Lesion (HSIL) as moderate dysplasia. The highest distribution abnormality of squamous epithelial cell was 41 years old, multipara (100%). Moderate dysplasia (HSIL) was woman with hormonal contraception. The incidence abnormal epithelial cervical cell was highest on 46 years old woman, with hormonal contraception and multiparty. The description of abnormal epithelial cervix cells was found to be ASCUS.