Endocervical curettage: does it contribute to the management of patients with abnormal cervical cytology?

Abstract:

:Routine endocervical curettage has been advocated in the colposcopic evaluation of patients with abnormal cervical cytology. To assess the usefulness of this procedure, we reviewed the records of 518 patients referred to the Colposcopy Clinic with abnormal Pap smears. Data was reviewed retrospectively in 411 patients and collected prospectively in 107 patients. Dysplasia was present in 1.4% of ECC specimens obtained in patients with conclusive colposcopic examinations, and in 25.7% of specimens in patients with inconclusive examinations. Invasive cancer was not detected in any ECC specimen. Eighty patients with inconclusive colposcopic examinations underwent conization of the cervix; in this group, the final pathologic diagnosis was CIN III in 51.2%, microinvasive cancer in 2.5%, and invasive cancer in 1.2%. In patients with conclusive colposcopic examinations, the final pathologic diagnosis was CIN III in 17.2%, and no cases of microinvasive or invasive cancer were present. When the colposcopic examination is conclusive, the incidence of positive ECC is low and may not warrant performing ECC in all patients. When the examination is inconclusive, ECC rarely obviates the need for diagnostic conization as ECC rarely yields a diagnosis of invasive cancer.

journal_name

Gynecol Oncol

journal_title

Gynecologic oncology

authors

Oyer R,Hanjani P

doi

10.1016/0090-8258(86)90100-9

subject

Has Abstract

pub_date

1986-10-01 00:00:00

pages

204-11

issue

2

eissn

0090-8258

issn

1095-6859

pii

0090-8258(86)90100-9

journal_volume

25

pub_type

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