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[Cervical conization in dysplasia and carcinoma in situ. Role of concomitant uterine curettage]
J Kazadi Buanga1, M J Acosta Vazquez
1Departamento de Ginecologia, Clinica Universitaria, Pamplona, Navarra, Espana.
Objective:
Reevaluation of the usefulness of routine uterine curettage with every cervical cone biopsy.
Material:
Retrospective analysis of 250 cervical cone biopsies over an 18 year period.
Results:
240 analysable cases were included. 90 patients had undergone cone biopsy only and 150 cone biopsy accompanied by uterine curettage. Curettage material was histologically normal 115 times (76.6%), negative or invalid 26 times (17.3%) and pathological 10 times (6.6%). Pathology consisted of 7 cases of hyperplasia and 3 of endometritis.
Conclusion:
Routine uterine curettage whenever cone biopsy is performed is of no value other than in certain special circumstances concerning clinical status and ultrasound findings.
