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- W1970781283 abstract "Objective: To evaluate the role of endocervical curettage (ECC) in the setting of a satisfactory colposcopic evaluation. Methods: A manual review was made of charts from all patients seen in a colposcopy clinic at an academic institution between January 1, 1996, and January 1, 1999. Patients were referred to the clinic for abnormal cytology—ASCUS or low-grade or high-grade lesions. Patients were included if they had had a satisfactory colposcopic exam and were HIV negative and not pregnant. Results: Included in the study group were 326 women. Every patient had an endocervical curettage performed as part of their evaluation. In total, 15 patients (4.6%) had positive ECC. When grouped by referring cytology, of 202 patients with ASCUS cytology, 2 had positive ECC (3.0%); of 93 referred with low-grade cytology, 3 had positive ECC (3.2%); and of 31 patients with high-grade cytology, 6 had positive ECC. One of 73 patients (1.4%) with no identifiable lesion had dysplasia identified on ECC. In patients with normal biopsies, 4 of 111 (3.6%) had a positive ECC. Of patients who had biopsy-proven low-grade lesions, 1 of 92 (1.1%) had positive curettage, whereas 9 of 50 patients with biopsy-proven high-grade lesions (18.0%) had positive endocervical dysplasia. Of the 15 patients with positive ECC, 13 ultimately underwent a cone or LEEP procedure. On the final pathology on those specimens, three showed no dysplasia, one had low-grade disease, and the remaining nine had high-grade lesions. Conclusion: ECC result had an impact on diagnosis and influenced treatment planning in 4.6% of patients. Recent debate has questioned the value of ECC in routine colposcopy. Our findings suggest that ECC remains a useful adjunct to colposcopic evaluation." @default.
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- W1970781283 date "2001-05-01" @default.
- W1970781283 modified "2023-09-24" @default.
- W1970781283 title "The utility of endocervical curettage in routine colposcopy of patients with satisfactory examination" @default.
- W1970781283 doi "https://doi.org/10.1016/s0029-7844(01)01162-0" @default.
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