HISTOPATHOLOGICAL EVALUATION OF CERVICAL LESIONS IN TERTIARY BASED HOSPITAL - KUTCH REGION

Aim:To find out various cervical lesions with histopathological correlation and age.Method: This was a prospective study conducted in pathology department of a tertiary care teaching hospital over aperiod of two years. A total of 255 women were included in this study. All cases of gynecological lesions atHistopathology department of Gujarat adani institute of medical science,Bhuj for 2 years starting from May 2019 to May2021 were retrieved.The demographic information such as nature of specimen which include Punch biopsy(21 cases)and total abdominal hysterectomy(234 cases) were extracted.Results: The most common finding was Nonspecific chronic cervicitis in 159 patients(62.35%) followed by normalstratified squamous epithelium was found in 42 patients(16.47%) and Papillary endocervicitis were 14patients(5.49%).In benign tumor or tumor-like lesion,Cervical metaplasia were 12 cases(4.70%),Nabothian cyst were 6cases(2.35%) and Endocervical polyp were 2 cases(0.78%). The premalignant cervical lesions were only 4cases(1.56%).The malignant cervical lesions were Large cell non-keratinizing squamous cell carcinoma were 7 cases(2.74%), Largecell keratinizing squamous cell carcinoma were 4 cases(1.56%),Squamous cell carcinoma NOS were 3 cases(1.17%),Poorly differentiated carcinoma was only one case(0.39%),Basaloid squamous cell carcinoma was only onecase(0.39%).Conclusion: Cancer cervix is an ideal malignancy for screening,can be detected early and the premalignant lesion canbe treated to prevent the progress to invasive disease. Hence all women with unhealthy cervix should be subjected topunch biopsy to detect early cases of cancer & carcinoma in situ. Most common cervical lesion is Squamous Cellcarcinoma and most common age group is 40-49 years.