Introduction: Leucorrhoea is a persistant , excessive white vaginal discharge. It is one of the major problem in gynaecological practice. Pap smear for cervico vaginal cytology examination is one of the common method for detection of various cervical disorders. Aim: to study cervical cytology smears in patients presenting with leucorrhoea Objective: 1] To diagnose and categorise various inflammatory premalignant & malignant lesion of the uterine cervix on cervical cytology smears in patients presenting with leucorrhoea. 2] To correct details in the cytological diagnosis based on Bethesda system (2001) Material & Methods: The present study is a two years prospective observational study done in Dept of pathology at tertiary care hospital total 304 cervicovaginal smears were evaluated The Rapid Pap staining was used for evaluation. Result: Total of 304 cervicovaginal smears studied from patients complaining of leucorrhoea. The patients in the age group of 31-40 years was common consist of 117 cases (38.48%). The multiparous womens were in 167 cases (54.95%). On clinical presentation in all cases presenting symptom was leucorrhoea followed by low backache 37.8%, pain in lower abdomen 26%, PV bleeding 15%, itching 5.6% dyspareunia 3.6%, dysmenorrhoea 2.6%, burning and increased frequency of micturation 1.97% cases. On cytology 288 cases (94.74%) were of non-neoplastic type while 16 cases (5.26%) were of neoplastic type. Among non neoplastic 208 cases (72.22%) were inflammatory smears. The neoplastic lesion were ASCUS 0.33%, LSIL-2.30%, HSIL-1.97%, SCC-0.66%. Conclusion: For leucorrhoea, cervical cytology examiniation provides accurate diagnostic modality and also helpful for early detection of neoplastic lesions.

Keywords: Cervical Cancer; PAP; Cytology