Treatment of cervical dysplasia with large loop excision of the transformation zone

Is endocervical curettage necessary?

R. Wendel Naumann, Marta A. Crispens, Ronald D. Alvarez, Edward E. Partridge, Hugh M. Shingleton, Larry Kilgore

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Endocervical curettage (ECC) is done during most colposcopic examinations. To evaluate the need for routine ECC, we reviewed the records of all new patients seen in the colposcopy clinic at our institution from July 15, 1992, to April 15, 1993. During the study period, ECC was done in 341 patients with an adequate colposcopy. Only one case of mild dysplasia was discovered after ECC in the 123 patients referred for evaluation of cervical intraepithelial neoplasia (CIN) I or atypia seen on Pap smear. ECC specimens were positive for dysplastic cells in only 3 of 203 patients (1.4%) in whom biopsy revealed CIN I or atypia, and Pap smears for all 3 patients were suggestive of more severe lesions. Routine ECC during the initial colposcopic examination adds expense and may cause significant patient discomfort. ECC can be safely omitted in patients with CIN I on referral Pap smear and before large loop excision of the transformation zone for treatment of more severe lesions.

Original languageEnglish (US)
Pages (from-to)961-966
Number of pages6
JournalSouthern medical journal
Volume89
Issue number10
DOIs
StatePublished - Oct 29 1996

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Uterine Cervical Dysplasia
Curettage
Papanicolaou Test
Cervical Intraepithelial Neoplasia
Colposcopy
Therapeutics
Referral and Consultation
Biopsy

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Treatment of cervical dysplasia with large loop excision of the transformation zone : Is endocervical curettage necessary? / Naumann, R. Wendel; Crispens, Marta A.; Alvarez, Ronald D.; Partridge, Edward E.; Shingleton, Hugh M.; Kilgore, Larry.

In: Southern medical journal, Vol. 89, No. 10, 29.10.1996, p. 961-966.

Research output: Contribution to journalArticle

Naumann, R. Wendel ; Crispens, Marta A. ; Alvarez, Ronald D. ; Partridge, Edward E. ; Shingleton, Hugh M. ; Kilgore, Larry. / Treatment of cervical dysplasia with large loop excision of the transformation zone : Is endocervical curettage necessary?. In: Southern medical journal. 1996 ; Vol. 89, No. 10. pp. 961-966.
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