The utility of endocervical curettage: does routine ECC at the time of colposcopy for low-grade cytologic abnormalities improve diagnosis of high-grade disease? - 24/05/12
Reprints: John D. Davis, MD, Director of Gynecology, University of Florida College of Medicine, Department of Obstetrics and Gynecology, PO Box 100294, Gainesville, FL 32610Résumé |
Objective |
To determine the use of endocervical curettage at the time of colposcopy for low-grade cytologic abnormalities.
Study Design |
We conducted a retrospective chart review of women with low-grade Papanicolaou smears who had undergone satisfactory colposcopic examinations with identifiable lesions. We evaluated results during a 2-year period thereafter to determine whether endocervical curettage increased the diagnosis of high-grade dysplasia.
Results |
The study group consisted of 374 patients. Of these patients, 16 had endocervical curettages suggestive of high-grade dysplasia. Of these 16 patients, 4 did not have concomitant high-grade dysplasia identified on ectocervical biopsy. Therefore, 93 to 94 endocervical curettages needed to be performed to detect 1 case of high-grade dysplasia that would not have been identified otherwise.
Conclusion |
Routine endocervical curettage at the time of satisfactory colposcopy for low-grade cytologic abnormalities with a visible lesion does not significantly improve the diagnosis of high-grade dysplasia.
Le texte complet de cet article est disponible en PDF.Key words : endocervical curettage, low-grade dysplasia, ASCUS, LSIL
Plan
| The authors report no conflict of interest. |
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| Cite this article as: Rose JD, Byun SY, Sims SM, et al. The utility of endocervical curettage: does routine ECC at the time of colposcopy for low-grade cytologic abnormalities improve diagnosis of high-grade disease? Am J Obstet Gynecol 2012;206:530.e1-3. |
Vol 206 - N° 6
P. 530.e1-530.e3 - juin 2012 Retour au numéro
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