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Title

Cervical cytology screening in a newly established government medical college: A bethesda-based reporting analysis

 

Authors

Priya Patel*, Shruti Semwal & Vikas Pandey

 

Affiliation

Department of Pathology, Government Medical College, Satna, Madhya Pradesh, India; *Corresponding author

 

Email

Priya Patel - E-mail: priyamva2016@gmail.com; Phone: +91 7987070261
Shruti Semwal - E-mail: shrutisemwal29@gmail.com; Phone: +91 9617462121

Vikas Pandey - E-mail: vikas.pandey09@gmail.com; Phone: +91 6370150278

 

Article Type

Research Article

 

Date

Received February 1, 2026; Revised February 28, 2026; Accepted February 28, 2026, Published February 28, 2026

 

Abstract

Cervical cancer poses a major health challenge in rural India due to limited screening access, necessitating cost-effective Pap smear programs using Bethesda criteria in new healthcare centres. This retrospective study analysed 148 cervical Pap smears from a rural medical college in central India, classified per the standardised Bethesda reporting system. Most smears (77.7%) were negative for intraepithelial lesion/malignancy (NILM), while abnormalities included ASC-US (4.7%), AGC-NOS and HSIL, successfully identifying precancerous lesions. The 31–40 years age group dominated (32.4%), with screening uptake increasing 74% between years 1–2, demonstrating programme feasibility in resource-limited settings. Thus, we show that preventive oncology by validating Bethesda-standardised Pap screening as an effective, scalable strategy for early cervicovaginal abnormality detection in underserved rural populations.

 

Keywords

Pap smear, Bethesda system, cervical cytology, negative for intraepithelial lesion/malignancy (NILM), cervical cancer screening, epithelial abnormalities, rural healthcare

 

Citation

Patel et al. Bioinformation 22(2): 1225-1231 (2026)

 

Edited by

Vini Mehta

 

ISSN

0973-2063

 

Publisher

Biomedical Informatics

 

License

This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.