الفهرس 
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Abstract
Cancer of the uterine cervix is an important cause of morbidity and mortality among women worldwide and a leading public health problem. Because of the phases that precede the lesion in the natural progress of invasive cervical cancer, and because they can be easily discovered and treated, the disease is well suited to screening programs.
In the current study, fifty cases of Pap smears were included, each case have 2 slides; one for spatula smear and the other for the brush smear representing the ectocervix and endocervix respectively.
The age of patients ranged from 38 to 70 years (with a mean of 50.08+ 10.736 and median of 49). Twenty nine (58%) women were perimenopausal and 21 (42%) were postmenopausal. Bleeding was the main complaint in 92% patient and the remaining 8% complained from vaginal discharge and itching.
Thirty one out of the 50 cases showed atrophy, eight showed normal cytomorphological finding, three were found to be inadequate, two were ASCUS, two showed criteria of ASC-H, three had features of HSIL, and one had evidence of carcinoma. Three out of 31 cases of atrophy, had features suggestive of Trichomonas infection, three showed follicular cervicitis, one showed HSV infection, one had evidence of bacterial vaginosis and six showed metaplastic changes. The relation between the patient’s age and their final diagnosis didn’t reach statistical significance (0.256).
Conclusion
This study highlight the importance of using cervical smears in early detection of cervical carcinoma and its precursors as an easy, costless, accessible, and reliable manner in the Outpatient Clinic of Gynecology and Obstetrics Department.