Endocervical Curettage at the Time of Colposcopic Assessment of the Uterine Cervix

Abu, Jafaru; Davies, Quentin

doi:10.1097/01.ogx.0000160774.92271.48

Cited by 12 publications

(11 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Endocervical sampling is a collection of cells from the endocervical canal using either an endocervical curette (endocervical curettage; Figure 3) or a cytobrush 24 . Endocervical sampling has the potential to detect high‐grade lesions or invasive cancer that are not detected by colposcopy alone 26 . Endocervical sampling is less commonly used, because excisional procedures such as loop electrosurgical excision procedure (LEEP) or coninization have largely replaced ablative treatment (cryotherapy or laser ablation), and invasive cancer would likely be diagnosed upon pathologic examination of the tissue removed during excision 26 .…”

Section: Endocervical Sampling and Cervical Biopsymentioning

confidence: 99%

“…Endocervical sampling has the potential to detect high‐grade lesions or invasive cancer that are not detected by colposcopy alone 26 . Endocervical sampling is less commonly used, because excisional procedures such as loop electrosurgical excision procedure (LEEP) or coninization have largely replaced ablative treatment (cryotherapy or laser ablation), and invasive cancer would likely be diagnosed upon pathologic examination of the tissue removed during excision 26 . However, endocervical sampling is recommended in several situations.…”

Section: Endocervical Sampling and Cervical Biopsymentioning

confidence: 99%

See 1 more Smart Citation

The Colposcopic Examination

Frank

2008

J Midwife Womens Health

View full text Add to dashboard Cite

Colposcopy is used to evaluate women with genital tract abnormalities and abnormal cervical cytology. It is an office-based procedure during which the cervix is examined under illumination and magnification before and after application of dilute acetic acid. Colposcopy may include a biopsy of lesions with characteristics of malignancy and premalignancy, such as acetowhite changes, abnormal vascular patterns, and failure to uptake iodine stain. Endocervical sampling may accompany colposcopy, particularly in the evaluation of nonpregnant women with cytology results of atypical glandular cells and adenocarcinoma in situ. Satisfactory colposcopy requires visualization of the entire squamocolumnar junction and margins of any visible lesions. While most midwives do not perform colposcopy, they will provide the pre- and postprocedure education, counseling, and evaluation of patients undergoing the procedure. This paper reviews essential information and gives special consideration to colposcopic examination in adolescent women, pregnant women, and postmenopausal women.

show abstract

Section: Endocervical Sampling and Cervical Biopsymentioning

confidence: 99%

Section: Endocervical Sampling and Cervical Biopsymentioning

confidence: 99%

The Colposcopic Examination

Frank

2008

J Midwife Womens Health

View full text Add to dashboard Cite

show abstract

“…12,13 Unsatisfactory colposcopic examination as unseen squamocolumnar junction was supplemented by endocervical curettage histopathological examination was done for collected biopsy. 14 Collected data was statistically analysed to determine and to compare the sensitivity, specificity, positive predictive value and negative predictive value of VIA and Pap smear in screening of premalignant cervical intraepithelial lesion and subclinical early cancer cervix.…”

Section: Methodsmentioning

confidence: 99%

Comparison between Pap smear and visual inspection with acetic acid in screening of premalignant cervical intraepithelial lesion and subclinical early cancer cervix

Sokkary

2016

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

Background: The objective of the study was to compare the sensitivity, specificity, positive predictive value and negative predictive value of VIA and Pap smear in screening of premalignant cervical intraepithelial lesion and subclinical early cancer cervix.Methods: An observational prospective study was done for 350 patients attending the gynecology outpatient clinic of the shatby maternity university hospital for any reasons, VIA and Pap test were done for all patients, then colposcopic guided biopsy from cases with positive colposcopic findings. Histopathological examination was done for collected biopsy. Collected data was statistically analyzed to compare between both tests (PAP and VIA).Results: Our results showed that the sensitivity of PAP test was 83.3%, specificity was 90.7%, positive predictive value was 50.8%, negative predictive value was 97.9% and accuracy was 90% while the VIA test had a sensitivity of 66.7%, specificity was 91%, positive predictive value was 46.1%, negative predictive value was 95.9% and accuracy was 88.5%.Conclusions: Via test has comparable results to Pap test regarding its sensitivity, specificity, positive predictive value, negative predictive value and accuracy and can be used as an alternative primary test to screen premalignant cervical intraepithelial lesion and subclinical early cancer cervix.

show abstract

“…This latter procedure, the endocervical curettage (ECC), involves circumferentially scraping the endocervical canal. Although several reviews have summarized the findings of numerous heterogeneous studies [1–6], the use of ECC remains controversial [7]. …”

Section: Introductionmentioning

confidence: 99%

Detection of cervical cancer and its precursors by endocervical curettage in 13,115 colposcopically guided biopsy examinations

Gage

Duggan

Nation

et al. 2010

American Journal of Obstetrics and Gynecology

View full text Add to dashboard Cite

Objective-Endocervical curettage (ECC) specimens obtained during colposcopy can detect cervical cancer and precursors otherwise missed by biopsy alone; but the procedure can be painful and reduce compliance with needed follow-up. ECC is routinely performed in the Calgary Health Region colposcopy clinics, permitting a look at its real-world utility.Study Design-We analyzed pathology and colposcopy reports from [2003][2004][2005][2006][2007]. We calculated the added diagnostic utility of ECC compared to cervical biopsy alone.Results-ECC increased the diagnostic yield of cervical intraepithelial neoplasia grade 2 or worse (CIN2+) in 1.01% of 13,115 colposcopically-guided biopsy exams. Therefore, 99 ECC specimens were taken to detect one additional CIN2+. ECC detected 5.4% of 2,443 CIN2+ cases otherwise missed by biopsy alone. Utility was greatest among women aged 46+ referred after a high-grade cytology.Conclusions-ECC is rarely informative when used routinely in colposcopic practice. Older women referred after high-risk cytology benefit most from ECC.

show abstract

Endocervical Curettage at the Time of Colposcopic Assessment of the Uterine Cervix

Abstract: After completion of this article, the reader should be able to list the proposed indications for endocervical curettage (ECC), to summarize the data in support of the routine use of ECC at the time of colposcopy, and to outline the evidence against the use of routine ECC at colposcopy.

Cited by 12 publications

References 25 publications

The Colposcopic Examination

The Colposcopic Examination

Comparison between Pap smear and visual inspection with acetic acid in screening of premalignant cervical intraepithelial lesion and subclinical early cancer cervix

Detection of cervical cancer and its precursors by endocervical curettage in 13,115 colposcopically guided biopsy examinations

Contact Info

Product

Resources

About