Opportunistic Cervical Cancer Screening Using Liquid-Based Cytology in a Gynaecology Outpatient Setting: A Cross-Sectional Study

Abstract

Background: Cervical cancer is a major public health issue, particularly in low- and middle-income countries. Early detection through effective screening methods is crucial for reducing morbidity and mortality. Opportunistic cervical cytology testing in outpatient settings plays an important role in the early identification of precancerous lesions.

Materials and Methods: This cross-sectional study aimed to evaluate the effectiveness of LBC in detecting precancerous lesions and cervical cancer in a defined population. One hundred women aged between 25 and 75 were screened using LBC. Cytological specimens were processed and analyzed by experienced cytopathologists.

Results: The primary outcome measures were the detection rate of precancerous lesions and cervical cancer, and the identification of factors associated with an increased risk of developing cervical cancer. Most of the patients who attended the OPD were in the fourth decade of life (37 cases, 37%), followed by 23 patients (23%) in the third decade. About 72.7% of patients who were diagnosed with LSIL and HSIL were in the age group of 51–70 years. Out of 100 patients, 13 had premalignant lesions and 2 had carcinoma.

Conclusion: The results of this study will provide valuable insights into the performance of LBC in a specific population setting. This information can contribute to the development and implementation of effective cervical cancer screening programs and ultimately reduce the burden of this disease.