Is routine performance of the uterine cervix canal curettage prior to the curettage of the uterine cavity justified?

Endocervical curettage (ECC) together with the dilatation and curettage of the uterine cavity (D & C) is routinely performed in everyday clinical practice. The aim of this study is to assess the rationale of the performance of ECC prior to D & C in indications other than abnormal uterine ble...

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Bibliographic Details
Published in:Ginekologia polska 2017-01, Vol.88 (9), p.463-468
Main Authors: Piątek, Szymon, Lipa, Jacek, Górska, Monika, Malecha, Katarzyna, Panek, Grzegorz, Wielgoś, Mirosław
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Cervical Intraepithelial Neoplasia - pathology
Cervix
Cervix Uteri - pathology
Curettage
Endometrial cancer
Endometrial Neoplasms - pathology
Female
Histopathology
Humans
Middle Aged
Retrospective Studies
Uterine Cervical Neoplasms - pathology
Uterus - pathology
Young Adult
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Summary:Endocervical curettage (ECC) together with the dilatation and curettage of the uterine cavity (D & C) is routinely performed in everyday clinical practice. The aim of this study is to assess the rationale of the performance of ECC prior to D & C in indications other than abnormal uterine bleeding (AUB). Case histories of 736 patients after ECC performed in the 1st Department of Obstetrics and Gynaecology, Medical University of Warsaw, were analyzed retrospectively, the indications for the procedure - age, menopausal status, parity, procedure operator's experience - as well as the result of the histopathology examination were taken into account. Three groups of patients were distinguished based on the indications for the procedure. In 645 (87.6%) of cases normal histopathology results were obtained. 40 (5.4%) cases were abnormal. 31 cases of uterine cervix dysplasia were disclosed (CIN 1-20; CIN 2-5; CIN 3-6), 8 cases of endometrial cancer and 1 case of cancer of the uterine cervix were disclosed. In 51 (7%) of cases tissue material for histopathology examination was not obtained. In patients where ECC and D & C were performed due to indications other than abnormal bleeding from uterine cavity, no abnormal results were revealed. In addition, in this group the highest number of non-diagnostic ECCs was reported (11.59%; p < 0.05). In the case of endometrial biopsy for indications other than AUB routine ECC prior to D & C need not be performed.
ISSN:0017-0011
2543-6767
DOI:10.5603/GP.a2017.0085