The Value of Endocervical Curettage in Cervical Cancer Screening

Juan ZHANG; Hong-yun ZHANG

doi:10.12259/j.issn.2095-610X.S20210822

Volume 42 Issue 8

Aug. 2021

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Juan ZHANG, Hong-yun ZHANG. The Value of Endocervical Curettage in Cervical Cancer Screening[J]. Journal of Kunming Medical University, 2021, 42(8): 123-127. doi: 10.12259/j.issn.2095-610X.S20210822

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Juan ZHANG, Hong-yun ZHANG. The Value of Endocervical Curettage in Cervical Cancer Screening[J]. Journal of Kunming Medical University, 2021, 42(8): 123-127. doi: 10.12259/j.issn.2095-610X.S20210822

Juan ZHANG, Hong-yun ZHANG. The Value of Endocervical Curettage in Cervical Cancer Screening[J]. Journal of Kunming Medical University, 2021, 42(8): 123-127. doi: 10.12259/j.issn.2095-610X.S20210822

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The Value of Endocervical Curettage in Cervical Cancer Screening

doi: 10.12259/j.issn.2095-610X.S20210822

Juan ZHANG,
Hong-yun ZHANG^,

Dept. of Gynecology，The 1st Affiliated Hospital，Kunming Medical University， Kunming Yunnan 650032，China

Received Date: 2021-06-09
Available Online: 2021-08-04
Publish Date: 2021-08-04

Abstract

Abstract

Objective To investigate the value of colposcopic cervix tube scraping （ECC） in the detection of low grade squamous intraepithelial lesions （LSIL） and above. Methods The clinical data of 1104 women who underwent cervical thin-thickness liquid-based cytology （TCT）, human papillomavirus （HPV）, colpopcopy, cervical biopsy and ECC in the gynecological outpatient department of the First Affiliated Hospital of Kunming Medical University from June 2018 to June 2020 were statistically analyzed. Results 18.75% （207/1104） women with LSIL+ were diagnosed by ECC, and additional detection was 8.82% （60/680）. Univariate analysis showed that women’ s age （P < 0.001）, cytology abnormality （P < 0.001）, HPV16/18 infection （P < 0.001）, colposcopy satisfaction （P < 0.001）, cervical biopsy pathology（P < 0.001）were statistically different for LSIL+ detection ECC. Multivariate regression analysis also showed that LSIL + detection of ECC was related to women’ s age （P = 0.017）, cytology abnormality （P < 0.001）, HPV16/18 infection （P < 0.001）, colposcopy satisfaction （P < 0.001）, cervical biopsy pathology （P < 0.001）. Conclusion Multi-point cervical biopsy and ECC under full colposcopy can improve the detection rate of cervical LSIL+ lesions, which is very important for early diagnosis and early treatment of cervical intraepithelial lesions and cervical cancer, but the value of ECC is still limited. It is recommended that ECC should be performed for cytological abnormalities, especially those with high-grade abnormalities, HPV16/18 type infection, those with unsatisfactory colposcopy, those with high-grade cervical lesions and older people, so as to increase the detection of cervical lesions.
- Endocervical curettage （ECC）,
- Colposcopy multi-sites biopsy,
- Cervical cancer,
- Cervical intraepithelial neoplasia

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References(18)

References

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