The role of endocervical curettage at cervical conization for high-grade dysplasia

摘要: Objective To quantify the risk of invasive cancer above location where conization specimen was taken in patients with an endocervical curettage (ECC) positive for dysplasia at high-grade cervical intraepithelial neoplasia (CIN), and to determine if any pathologic features may influence this risk. Methods The charts 104 who underwent followed by repeat or hysterectomy Los Angeles County + University Southern California Women's Hospital between January 1986 December 1992 were reviewed retrospectively. Patients glandular on initial excluded. ECC performed immediately after biopsy (conization ECC) benign 63 contained 41. All available specimens that evaluated volume degree cytologic atypia. Fisher exact test used statistical comparison within groups. Results Invasive not present group but nine (22%) (P Conclusions An is important predictor invasion residual cervix whose reveals should be routinely performed. Women 50 years older both a margin undergo before further therapy. under age fertility desired; otherwise, close follow-up necessary exclude presence lesion cervix.