Pap smear examination of patients with leiomyoma

The Pap smears of 309 patients with leiomyoma were examined at Siriraj Hospital between August 1983 and April 1984. Most of the smears were taken by VCE technique (vaginal scraping, ectocervical scraping and endocervical swabbing); the remainder, by CE or C only. The patients ranged in age from 23 to 66 years, the mean age +/- the standard deviation being 42.1 +/- 7.6 years. The cytological diagnoses were: a) 34.0 per cent abnormal smears, 62.4 per cent infection and 3.6 per cent abnormal cells of the uterine cervix and the endometrium; b) 34.6 per cent normal hormonal evaluation, 8.4 per cent high estrogen; and 5.2 per cent low estrogen with 51.8 per cent having no hormonal evaluation.