Clinicopathological Correlation of Cervical Carcinoma: A Tertiary Hospital Based Study


Background: To study the clinical presentation of cervical carcinoma correlating with histopathologicalfindings in a tertiary hospital situated in the southern part of India catering to rural and semi-urban populationsMaterials and
Methods: 199 cases histopathologically diagnosed as cervical cancer over a period of one year wereconsidered for the study. Clinical details of the patients were noted with the help of semi-structured proforma. Thedata was analysed by descriptive analysis using SPSS software.
Results: Out of 199 patients, 109 had moderatelydifferentiated squamous cell carcinoma, 51 poorly differentiated and 35 well differentiated. Adenocarcinomasnumbered only four. 121 cases were in the age group of 40-59 years, 59 in 60-80 years and 19 in 20-39 years. Allfour cases of adenocarcinoma were seen between 40-59 years. 95 (47.7%) cases were in women who had 4 or morechildren, 120 presented with white discharge, 89 with bleeding per vagina and 68 had constitutional symptoms.Most of the patients with adenocarcinoma presented with bleeding per vagina. 151 was in stage IIIB, 29 in stageIIB, 14 in stage IVA and 5 in stage IB.
Conclusions: Screening of cervical cancer should be emphasised in womenwith white discharge especially in rural areas for early detection of dysplastic cells and reduce mortality andmorbidity in productive age. In addition health education has to be given to women regarding the awareness ofhygiene, risk factors and symptoms of cervical cancer.