Cervical intraepithelial neoplasia in Jordan: A ten year retrospective cytoepidemiologic study

Y F Dajani1, U M Maayta, Y R Abu-Ghosh

  • 1Consulting Medical Laboratories, Amman, Jordan.

Insights

Cervical intraepithelial neoplasia (CIN) occurred in 1.1% of females in Jordan. Papanicolaou (Pap) smears are valuable for detecting CIN in Jordanian women over 20, particularly those over 35.

Area of Science:

  • Gynecology
  • Oncology
  • Public Health

Background:

  • Cervical intraepithelial neoplasia (CIN) is a significant public health concern.
  • Understanding the epidemiology of CIN in different regions is crucial for targeted screening and prevention strategies.
  • Previous data on CIN occurrence in Jordan was limited.

Purpose of the Study:

  • To determine the frequency and incidence of CIN in females attending obstetric and gynecology clinics in Jordan.
  • To analyze the grading of CIN cases and their correlation with cytological findings.
  • To identify potential risk factors associated with CIN occurrence in the Jordanian population.

Main Methods:

  • A retrospective study of 10,659 females attending obstetric and gynecology clinics in Jordan from 1982 to 1991.
  • Analysis of CIN occurrence, frequency rates, and incidence rates.
  • Histological grading of CIN cases and comparison with cytological results.
  • Investigation of potential associations between CIN and factors such as circumcision of male partners, marital status, age at marriage, parity, breastfeeding, contraceptive pill use, socioeconomic status, and menstrual disorders.

Main Results:

  • The overall frequency of CIN was 1.1% (121 cases) among 10,659 females.
  • The incidence rate in routine check-up attendees was 49 per 100,000 Jordanian females.
  • CIN cases were graded as Grade I (21%), Grade II (48%), and Grade III (31%).
  • Histological grading correlated with cytology in 70% of cases, with 30% showing cytologic underrating.
  • Circumcision in male partners and marital status were associated with a lower frequency of CIN.
  • No significant relationship was found between CIN frequency and age at marriage, parity, breastfeeding, contraceptive pill use, socioeconomic status, or menstrual disorders.

Conclusions:

  • CIN occurrence in Jordanian females is substantial, though lower than in high-incidence areas.
  • Papanicolaou (Pap) smears are valuable for detecting CIN in Jordanian females over 20, especially those over 35 attending gynecological clinics.
  • Further studies are needed to determine the incidence of CIN in the general female population in Jordan.

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