A prospective study to evaluate the histopathologic pattern pf carcinoma of cervix and to find out the incidence rate and most common type of the carcinoma of cervix

Abstract

Objectives: To study histopathologic pattern pf carcinoma of cervix and to find out the incidence rate and most common type of the carcinoma of cervix.
Material and Method: This study was undertaken in the department of pathology over a period of 2 years from June 2012 to June 2014. All Hysterectomy specimens and cervical biopsies were processed routinely and paraffin sections were taken and stained with Haematoxylin and Eosin (H&E) for microscopic examination. Tumours of the cervix were classified and studied according to WHO classification.
Results: Women in the study were in the age range of 31-50 years and had no education, with only 24.67% having primary education. The most common presenting complaint in 84% of cases was leucorrhoea. 56% (421) of the cases were reported as Chronic Non-Specific cervicitis followed by a significant number of cases presenting as Carcinoma Cervix (30%). There were 227 cases of Carcinoma cervix. Squamous cell Carcinomas accounted for 223 cases (98.24%). There were 3 cases of Adenocarcinoma (1.32%), and a single case of adenosquamous carcinoma. Histopathologic variants of SCC include large cell Keratinizing 76 cases (34.08%), Large cell non-Keratinizing 118 cases (52.92%) and small cell type 29 cases (13%).
Conclusion: Incidence of squamous cell carcinoma was more as compared to adenocarcinoma. Among Squamous Cell Carcinoma, Large cell non keratinizing type was the predominant type.