[Endocervical curettage. Its use in the colposcopic assessment of a patient who has an abnormal cervico-vaginal smear].
Endocervical curettage (ECC) is a simple way of exploring the endocervical canal and is useful for the management of a patient with an abnormal smear. If colposcopy is satisfactory, ECC is usually negative confirming that the canal is free of disease and out-patient treatment can be used. A positive ECC warrants conization. If colposcopy is not satisfactory, ECC is usually positive, confirming extension of the disease in the canal, and sometimes the presence of an invasive lesion requiring a radical treatment right away. An endocervical adenocarcinoma alone or associated with an epidermoid lesion may also be identified. Post cone ECC confirms the absence of residual disease. Follow-up of patients after treatment and/or the menopause with an ECC is helped, especially when the squamocolumnar junction is not seen.
Bergeron
C
C
Institut de Pathologie et de Cytologie Appliquée, I.P.E.C.A., Paris.
D001706:Biopsy; D002985:Clinical Protocols / Q000592:standards*; D003127:Colposcopy; D003475:Curettage / Q000295:instrumentation / Q000379:methods / Q000592:standards*; D003663:Decision Trees; D005260:Female; D006801:Humans; D002578:Uterine Cervical Dysplasia / Q000175:diagnosis* / Q000473:pathology; D014626:Vaginal Smears
Le curetage endocervical. Son utilité dans le bilan colposcopique d'une patiente ayant un frottis cervico-vaginal anormal.