Comparison of Three Methods, “Pap Smear, Conization and LEEP” in Women with Abnormal Pap Smear: A Ten-Year Retrospective Analytical Study

Abstract

Aim: Considering that many cases of abnormal pap smears are reported, which lead to more aggressive procedures such as colposcopy and cervical Loop Electrosurgical Excision Procedure conization, therefore, we tried to investigate the results of conization and compare them with the results of pap smears, so that perhaps more aggressive procedures can be avoided. Methods: This cross-sectional retrospective analytical study was conducted on women who underwent pap smear and cervical conization in Mortaz and Shahid Sadoughi hospitals from 2011 to 2020. All data including age, Pap smear, and conization pathology results were extracted from medical records. P-value Results: Totally 1306 patients were included in this study. The mean age was 40.74±9.73 years old. The most commonly reported pap smear tests and loop electrosurgical excision procedure conization were atypical squamous cells of undetermined significance with 912 (69.8%) patients for a pap smear and chronic cervicitis with 860 (65.8%) patients for loop electrosurgical excision procedure, respectively. A significant difference was seen between the distribution of conization findings and the pap smear test. In addition, no significant difference was observed between the distribution of findings of pap smear tests and cervical conization in terms of age. Conclusion: According to the results, it can be said that there was no significant difference between different age groups, but there is a significant difference between the results of pap smear and cervical conization, it seems that pap smears should be reported more accurately to avoid unnecessary conization. Keywords: uterine cervical neoplasms, papanicolaou test, conization, cervix uteri