TITLE:
Correlation between Abnormal Pap Smear Histopathology and Colposcopy Findings in Relation to Cervical Cancer in Bahrain
AUTHORS:
Rahaf Osama Almuhanadi, Lana Alabbasi, Adnan Gassan, Tanya Susana, Rushin Kadeeja, Donya Adel Aldailami, Hamad Salman Saif, Ebtisam Najeeb Buali, Ekram Mohammed Nassar, Gulmeen Raza, Mahmoud Samy Ismail, Ashraf Elshahat, Priya Da
KEYWORDS:
Pap Smear Test, Colposcopy, ASC-US, Cervical Cancer
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.16 No.3,
March
18,
2026
ABSTRACT: This study investigates the correlation between abnormal histological results and abnormal Pap smear findings, as observed through colposcopic evaluations. As cervical cancer screening methods evolve, understanding the relationship between these diagnostic tools is critical for improving patient outcomes and treatment strategies. We conducted a comprehensive analysis of patients who underwent Pap smear testing and colposcopy, focusing on histopathological results obtained from biopsy samples. Methods: This Study was done at King hamad university hospital, Bahrain. Spearman’s rho and bivariate method of analysis was used for 344 patients. The inclusion criteria were women in the reproductive age, who underwent colposcopy. This study was conducted from January 2022-December 2024. Results: The analysis included participants for whom at least 75% of the data was complete. After applying this criterion, 344 participants were retained for further analysis, while those with incomplete data were excluded. Majority of the biopsy was sampled from cervical biopsy (n = 169) followed by cervical polyps (n = 83) and uterus (n = 64). The mean age of the participants was 50.06 ± 12.95. The patients who had viral infection had a higher odd of developing abnormal colposcopy [OR 2.35 (95 % CI 0.93 - 5.92), p = 0.04]. Bivariate analysis: Abnormal colposcopy has a weak positive correlation with viral infection (r = 0.140, p = 0.008) and weak negative correlation with age (r = −0.159, p =