Efficacy of endocervical curettage in colposcopic assessment of patients having abnormal squamous pap smear
DOI:
https://doi.org/10.18597/rcog.483Keywords:
cervical intraepithelial neoplasia, curettage, biopsy, sensitivity and specificityAbstract
Objective: using endocervical curettage during colposcopy is currently being questioned; its usefulness as a diagnostic tool in patients having suspected squamous changes in pap smear is controversial. The classical approach to this problem adopted by many authors has yielded little help; it consists of matching histological results from the cervix with the problem itself. The current research provides a new approach by including biopsy orientated towards searching for lesions which were not suspected during examination; this was aimed at trying to improve the safety of colposcopy when used as a diagnostic tool.
Methodology: results from 306 women having abnormal pap smear and endocervical curettage during colposcopic evaluation were thus compared to histopathological results from cervical specimens in the search for non-suspicious lesions during guided biopsy and analysed according to colposcopy and pap smear results.
Results: overall, sensitivity was low while specificity and negative predictive values were high.
Conclusion: the outcomes led to the conclusion that endocervical curettage performed in line with strict indications, according to the type of colposcopy and pap smear abnormality, is of great help and improves the safety of colposcopic diagnosis.
Author Biography
Antonio González-Mazuelo
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