299P - Cervical cancer screening in women attending cervical screening camp by Pap Smear at a peripheral rural hospital of South India (299P)

Date 18 November 2017
Event ESMO Asia 2017 Congress
Session Poster lunch
Topics Cervical Cancer
Cancer Aetiology, Epidemiology, Prevention
Gynaecologic Malignancies
Presenter Chinnababu Sunkavli
Citation Annals of Oncology (2017) 28 (suppl_10): x86-x93. 10.1093/annonc/mdx663
Authors D. Pawar1, C. Sunkavli2, A. Suresh3
  • 1Medical Affairs And Clinical Development, Biocon Limited, 560100 - Bangalore/IN
  • 2Medical And Surgical Oncology, Apollo Hospital, 400000 - Hyderabd/IN
  • 3Medical Oncology, Continental Hospitals, Hyderabad/IN

Abstract

Background

Cervical cancer due to human papillomavirus (HPV) is the leading cause of deaths in India especially in rural India. Early detection is necessary for early treatment and reduced mortality. Cytological/HPV screening is hence essential amongst high risk groups. Although reports related to the general population iare available, data on HPV prevalence among women in South India is scarce.

Methods

We conducted screening camp in rural in rural south India in 2016, where 919 females of age group 19 to 75 yrs participated and the mean age was 40 yrs. The females were referred from neighbouring villages for the screening camp. Cervical samples were collected for cytological staining by Pap test and were evaluated by trained pathologist

Results

Pap smears of 919 females were analysed. It was observed that 62% of females were negative for intraepithelial lesions or malignancy. 15% of females had mild, 10% had moderate and 1% had severe non specific inflammation, 3% of females had bacterial vaginosis, 2% had candida infection and bacillary vaginosis, respectively, 2% of females had atrophy with inflammation and 1% of females had atrophic changes. 2%(14 females) had low grade squamous intraepithelial lesion (LSIL) and 1% (8 females) had high grade squamous intraepithelial lesion (HSIL). It was observed that due to low socioeconomic reasons and hygiene the incidence of bacterial and fungal infection was high

Conclusions

Mass screening provides an opportunity for public education to create awareness about screening for cervical cancer which is an initial step towards reducing its burden in our country. Due to poor hygienic conditions in rural regions incidence of infection increases which can be one of the causative factors for increase in cervical cancer in such females in India. In this camp the positive patients were referred for further investigations and treatment. More such screening camps and awareness are required to reduce the burden of cervical cancer in India.

Clinical trial identification

GRACE/SCREN/001/2016.

Legal entity responsible for the study

Dr Chinnababu Sunkavli

Funding

None

Disclosure

All authors have declared no conflicts of interest.