Background and Objectives: Cancer of the cervix is an increasing health problem and an important cause of mortality in women worldwide. This study has been undertaken to find out the prevalence of an abnormal Pap smear in a tertiary care centre. Aim of the Study: To evaluate women for non-neoplastic and neoplastic lesions using the Pap smear test and to investigate for the surveillance for clinical and demographic correlation. Methods: This was a retrospective and prospective study conducted in the Department of Pathology, HIMS, Hassan from 2012 to July 2022. A total of 3390 women were included in the study. Data were entered in Microsoft Excel and analyzed in SPSS software. Results: Out of 3390 women included in the study, majority women were in the age group of 35- 45 years (41.9%). Most cases (53%) were from rural area. Majority of the patients were asymptomatic (52.6%), followed by menstrual abnormalities (16.1%) and white discharge (13.7%). NILM-Inflammatory was the most common finding (61.5%), followed by NILM (17.7%). ASCUS, AGUS, ASC-H, LSIL and HSIL were detected in 3.9%, 0.6%, 0.7%, 3.2% and 2.1% respectively. SCC was reported in 1.1% of the study population. NILM, NILM-Inflammatory, ASCUS, AGUS, LSIL, ASC-H and HSIL were more common in the premenopausal age group. Atrophy and SCC were more common in the postmenopausal age group. Conclusion: Pap smear screening procedure is a simple, economical, useful and safe tool in detecting precancerous cervical epithelial lesions. Educational programs and medical camps should be conducted in the community to create awareness about the cervical cancer and its prevention by periodic pap smear examination.

Background and Objectives: Cancer of the cervix is an increasing health problem and an important cause of mortality in women worldwide. This study has been undertaken to find out the prevalence of an abnormal Pap smear in a tertiary care centre. Aim of the Study: To evaluate women for non-neoplastic and neoplastic lesions using the Pap smear test and to investigate for the surveillance for clinical and demographic correlation. Methods: This was a retrospective and prospective study conducted in the Department of Pathology, HIMS, Hassan from 2012 to July 2022. A total of 3390 women were included in the study. Data were entered in Microsoft Excel and analyzed in SPSS software. Results: Out of 3390 women included in the study, majority women were in the age group of 35- 45 years (41.9%). Most cases (53%) were from rural area. Majority of the patients were asymptomatic (52.6%), followed by menstrual abnormalities (16.1%) and white discharge (13.7%). NILM-Inflammatory was the most common finding (61.5%), followed by NILM (17.7%). ASCUS, AGUS, ASC-H, LSIL and HSIL were detected in 3.9%, 0.6%, 0.7%, 3.2% and 2.1% respectively. SCC was reported in 1.1% of the study population. NILM, NILM-Inflammatory, ASCUS, AGUS, LSIL, ASC-H and HSIL were more common in the premenopausal age group. Atrophy and SCC were more common in the postmenopausal age group. Conclusion: Pap smear screening procedure is a simple, economical, useful and safe tool in detecting precancerous cervical epithelial lesions. Educational programs and medical camps should be conducted in the community to create awareness about the cervical cancer and its prevention by periodic pap smear examination.