Comparison of Tissue Yield Using Frictional Fabric Brush Versus Sharp Curettage For Endocervical Curettage
| Autor: | Joel S. Bentz, Sumra Rathore, Justin T. Diedrich |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
genetic structures medicine.medical_treatment Dentistry Endocervical curettage Dilatation and Curettage law.invention 03 medical and health sciences 0302 clinical medicine law parasitic diseases medicine Humans Retrospective Studies 030219 obstetrics & reproductive medicine Repeat biopsy Histocytochemistry business.industry Obstetrics and Gynecology Brush General Medicine eye diseases Curettage Surgery stomatognathic diseases Case-Control Studies 030220 oncology & carcinogenesis Uterine Neoplasms Female sense organs business |
| Zdroj: | Journal of Lower Genital Tract Disease. 21:304-306 |
| ISSN: | 1526-0976 1089-2591 |
| DOI: | 10.1097/lgt.0000000000000324 |
| Popis: | OBJECTIVE The aim of the study was to evaluate and compare the diagnostic yield of conventional endocervical curettage (ECC) with fabric-based ECC in a consistent physician group. MATERIALS AND METHODS This is a retrospective case-control study of patients who underwent ECC both before and after introduction of a fabric-based ECC device. Histologic examination of curettings was categorized as satisfactory, limited, or inadequate. The Kruskall-Wallis test was used to compare proportions of gross descriptions and final diagnoses between groups. RESULTS Between January 2010 and July 2011, 9234 ECCs were performed using conventional ECC technique. From September 2011 to October 2013, 774 ECCs were performed with the fabric-based ECC. Using the conventional ECC technique, 7809 (84.6%) of specimens were satisfactory, 1037 (11.2%) were limited, and 388 (4.2%) were inadequate and repeat biopsy was recommended. With fabric ECC, 705 (91.1%) of specimens were satisfactory, 64 (8.3%) were limited, and 5 (0.6%) were inadequate, and repeat biopsy was recommended. There were significantly fewer inadequate specimens with the fabric-based ECC (4.2% vs 0.6%, p < .001). CONCLUSIONS Fabric-based ECC may significantly decrease inadequate and limited ECC specimens. |
| Databáze: | OpenAIRE |
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