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Endocervical curettage and brushing during colposcopic evaluation in patients having suspected changes in pap smear and negative colposcopy

Keywords: Cervical intraepithelial neoplasia , Endocervical curettage , Endocervical brushing , Colposcopy.

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Abstract:

Objective: the aim of this study was to evaluate the utility of endocervical curettage and brushing during colposcopic evaluation in patients having suspected changes in Pap smear and negative colposcopy.Methodology: results from 43 women having abnormal Pap smear and negative satisfactory colposcopy; endocervical curettage during colposcopic evaluation were thus compared to endocervical brushing during colposcopic evaluation.Results: the endocervical curettage was useful to detect cervical intraepithelial neoplasia no suspected during satisfactory colposcopic evaluation. The endocervical brushings was useful too, but the endocervical curettage was better.Conclusion: this study suggests that endocervical curettage can be useful during negative satisfactory colposcopic evaluation of a patient with an abnormal Papnicolaou smear.RESUMENObjetivos: El objetivo de este estudio fue evaluar la utilidad del cepillado y legrado endocervical durante la evaluación colposcópica en pacientes con citología anormal y colposcopia satisfactoria negativa. Materiales y métodos: Se incluyeron 43 mujeres con citología anormal y colposcopia satisfactoria negativa. Se realizó legrado y cepillado endocervical y se compararon los resultados.Resultados: El legrado endocervical fue útil en detectar neoplasia intraepitelial cervical no observada durante la evaluación colposcópica satisfactoria. El cepillado endocervical también fue útil, pero el legrado fue mejor.Conclusión: Este estudio sugiere que el legrado endocervical puede ser de utilidad durante la evaluación colposcópica satisfactoria negativa de pacientes con una citología anormal.

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