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Is routine performance of the uterine cervix canal curettage prior to the curettage of the uterine cavity justified?
Affiliations- 1st Department of Obstetrics and Gynecology, Medical University of Warsaw, Poland
open access
Abstract
Objectives: 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).
Material and methods: 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.
Results: 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).
Conclusions: In the case of endometrial biopsy for indications other than AUB routine ECC prior to D & C need not be performed.
Abstract
Objectives: 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).
Material and methods: 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.
Results: 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).
Conclusions: In the case of endometrial biopsy for indications other than AUB routine ECC prior to D & C need not be performed.
Keywords
endocervical curettage, dilatation and curettage, endometrial biopsy
About this articleTitle
Is routine performance of the uterine cervix canal curettage prior to the curettage of the uterine cavity justified?
Journal
Issue
Article type
Research paper
Pages
463-468
Published online
2017-09-29
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1249
Article views/downloads
1266
DOI
Pubmed
Bibliographic record
Ginekol Pol 2017;88(9):463-468.
Keywords
endocervical curettage
dilatation and curettage
endometrial biopsy
Authors
Szymon Piątek
Jacek Lipa
Monika Górska
Katarzyna Malecha
Grzegorz Panek
Mirosław Wielgoś
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