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December 2019 -
Volume 17, Issue 12

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From the Editor

Editorial
A. Abyad (Chief Editor)
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Original Contribution

Level of Patient Empathy among medical students of Saudi Medical College: A Cross-sectional Survey
[abstract]
[pdf]
Farzana Rizwan Arain
DOI: 10.5742MEWFM.2019.93706

Returnee’s Depression Epidemiology among Secondary School Students in Tikrit-Iraq after Internal Displacement
[abstract]
[pdf]
Islam AR Zaradwy
DOI: 10.5742MEWFM.2019.93707

Accuracy of Pap smear in cervical cancer screening
[abstract]
[pdf]
Zainab Ali Issa, Hamssa Hussein Aloan, Asan Ali Qasim Al Niyazee
DOI: 10.5742MEWFM.2019.93708

Prevalence of Dry Eye Disease in Rheumatoid Arthritis Patients
[abstract]
[pdf]
Hiba Abdelmageed Younis, Zinah Yahya Jawad Al-Quzweeni
DOI: 10.5742MEWFM.2019.93709

Knowledge and awareness of health practice during pregnancy among females of Jeddah City in Saudi Arabia
[abstract]
[pdf]
Rehab Alsaleh, Abdullah K. Alassiri, Asalah F. Hamad, Huda A. Bahasan, Nouf M. Alasiri, Maha A. Aljudaibi
DOI: 10.5742MEWFM.2019.93710

Knowledge and awareness of age related eye diseases in the population of the western region of Saudi Arabia
[abstract]
[pdf]
Intessar Sultan, Mohammed G. Alsaedi, Fatima A. Ahmed, Khalid F. Alharbi, Nouf M.Alasiri
DOI: 10.5742MEWFM.2019.93711

Fatigue in rheumatoid arthritis patients; association with mood status, Kingdom of Saudi Arabia: a cross-sectional study
[abstract]
[pdf]
Jamal A. Albishri, Anhar A. Algurashi, Ameenah A. Alkhaldi, Hadeel M. Assami, Shroug R. Almalki, Reema F. Aloufi
DOI: 10.5742MEWFM.2019.93712

Mid-Term Outcomes of Laparoscopic Sleeve Gastrectomy in a Single Private Institution
[abstract]
[pdf]
Alaa Jaber Othman , Nouf Alasiri, Yasser Tohme, Samer M AlAthath, Tariq M Awidah , Ahmed Bazuhair, Ahmed Alathath, Mohammed AlGabbani, Haytham Alabbas, Tahir Yunus
DOI: 10.5742MEWFM.2019.93713

Population and Community Health

Breastfeeding knowledge, attitude and practice among mothers attending Maternity Hospital at King Faisal Medical complex, Taif city, Saudi Arabia 2018
[abstract]
[pdf]
Afnan Faleh Alharthi, Rawan Nawar Al-Holaifi, Bayan Abdullah Alnemari, Asayel Abdullah Alosaimi, Asmaa Dhafer Alamri, Adil Ali Nassir Ahmed Ayed
DOI: 10.5742MEWFM.2019.93715

Knowledge, Attitude and Practice About Epilepsy among Elementary School teachers in Taif City, Saudi Arabia
[abstract]
[pdf]
Wardah M. Alharthi , Shrouq R. Almalki , MBBS, Ameenah A. Alkhaldi , Nouf M. Althobati, Ayman Abdelbaky Atalah, Naif Edah Alomairi
DOI: 10.5742MEWFM.2019.9371682

Awareness and knowledge of congenital infections (TORCH) among women and health care providers in Al Taif area Saudi Arabia
[abstract]
[pdf]
Manal A. Elnashar, Nisreen Kh. Aref, Ruba G. Qadi, Aishah A. Al-kabi, Jameela A. ALMathami
DOI: 10.5742MEWFM.2019.93714

School-entry Screening Program for Ear and Hearing Problems in Tikrit, Iraq
[abstract]
[pdf]
Islam AR Zaradwy
DOI: 10.5742MEWFM.2019.93717

Knowledge and awareness of community about pediatric nocturnal enuresis in Taif city, 2018
[abstract]
[pdf]
Amjaad F. Algethami , Norah M. Alotaibi , Hanaa A. Alrbeeai , Hind A. Al humayani , Najmah A. Alotaibi, Nada E. Algethami
DOI: 10.5742MEWFM.2019.93718

Knowledge of diabetes mellitus risk factors and complications among the students at Taif University
[abstract]
[pdf]
Abdullah S. Almalki, Nada A. Almalki, Asrar A. Althubaiti, Ghadder F. Althubaiti, Najwa S. Alotaibi, Hanan A. Alshahrani
DOI: 10.5742MEWFM.2019.93721

Case Report

CDH3 mutation associated with ectodermal dysplasia and hair abnormalities
[abstract]
[pdf]
Afnan Hasanain, Mohammed G. Alsaedi , Maram A. Aljohani, Shereen M. Abd El-Ghany, Abdulmonem Almutawa
DOI: 10.5742MEWFM.2019.93720



Middle East Quality Improvement Program
(MEQUIP QI&CPD)

Chief Editor -
Abdulrazak Abyad MD, MPH, MBA, AGSF, AFCHSE
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Editorial Office -
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Phone: (961) 6-443684
Fax:     (961) 6-443685
Email: aabyad@cyberia.net.lb
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Lesley Pocock
medi+WORLD International
AUSTRALIA
Email: lesleypocock@mediworld.com.au
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Editorial Enquiries -
abyad@cyberia.net.lb
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December 2019 - Volume 17, Issue 12

Accuracy of Pap smear in cervical cancer screening

Zainab Ali Issa (1)
Hamssa Hussein Aloan (2)
Asan Ali Qasim Al Niyazee (3)

 (1) Al- Yarmook teaching hospital, Iraq
(2) Al- Salhiya Health Center, Iraq
(3) Al-Alwiyaa Maternity Teaching Hospital, IraqCorresponding author:Zainab Ali Issa, Al-Yarmook teaching hospital, Iraq

Corresponding author:
Zainab Ali Issa,
Al-Yarmook teaching hospital,
Iraq
Email: zatum95@gamil.com

Received: October 2019; Accepted: November 2019; Published: December 1, 2019. Citation: Zainab Ali Issa, Hamssa Hussein Aloan, Asan Ali Qasim Al Niyazee. Accuracy of Pap smear in cervical cancer screening. World Family Medicine. 2019; 17(12): 16-20. DOI: 10.5742MEWFM.2019.93708

Abstract


Introduction: Globally, cancer of the cervix is the second leading cancer in females. The sensitivity of conventional Pap smear in diagnosing cervical lesions before development of cervical cancer is fifty one percent, which indicates that false negative results is forty nine percent. The aim of this research is to compare two methods for cervical cancer screening (conventional Pap smear and colposcopy).

Methods: This was a cross sectional study carried out on 38 patients who presented to the private clinic, during the period 1st January-1st September 2018. All cases underwent Pap smear, a colposcopy, and a cervical biopsy, with the latter being considered as the gold-standard test. Inclusion criteria include married for at least 3 years, non pregnant, age 21 years. The exclusion criteria were the following; women with active vaginal bleeding, hysterectomy, women with frank growth and/or who had never been sexually active or had undergone prior treatment for CIN or cancer of cervix, or had unsatisfactory Pap smear. Pathological study was done by histopathology specialist. Conventional Pap smear was used, using a smear made on a glass slide for CPS and fixed. Cytology was reported using Bethesda system and histology reporting was done using CIN terminology.

Results: Most of the cases were Atypical Squamous Cell Undetermined Significant (ASCUS) 15 (39.5%). Histopathological study of the biopsy taken from the patient revealed that: Squamous cell carcinoma was found among 2 (5.3%) of the patients, CIN3 2 (5.3%), 4 (10.5%), and CIN1 7 (18.4%). The overall sensitivity of Pap smear was (93%), with the largest sensitivity among those aged 44 years (100%), while among those aged 45 years it was decreased (86%).

Conclusion: The sensitivity and specificity results indicate that the cytologists need more training as it is operator dependent.

Key words: conventional Pap smear, colposcopy, cervical cancer, sensitivity, specificity



 


 
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