Colposcopy Standards: Guidelines for Endocervical Curettage at Colposcopy
Authors
Massad, L StewartPerkins, Rebecca B
Naresh, Amber
Nelson, Erin L
Spiryda, Lisa
Gecsi, Kimberly S
Mulhem, Elie
Kostas-Polston, Elizabeth
Zou, Tianle
Giles, Tashima Lambert
Wentzensen, Nicolas
UMass Chan Affiliations
PathologyDocument Type
Journal ArticlePublication Date
2022-10-12
Metadata
Show full item recordAbstract
Objective: The most recent guidelines for colposcopy practice in the United States, the 2017 Colposcopy Standards Consensus Guidelines, did not include recommendations for endocervical curettage (ECC). This document provides updated guidelines for use of ECC among patients referred for colposcopy. Methods: Consensus guidelines for the use of ECC were developed in 2012. To update these guidelines in concordance with the 2017 Colposcopy Standards process, an expert workgroup was convened in 2021. Literature had been previously reviewed through 2011, before the 2012 guideline. Literature from the years 2012-2021 and data from the NCI Biopsy study were reviewed, focusing on the additional yield of ECC. Results: Endocervical curettage is recommended for patients with high-grade cytology, human papillomavirus 16/18 infection, positive results on dual staining for p16/Ki67, for those previously treated for known or suspected cervical precancer or considering observation of cervical intraepithelial neoplasia grade 2, and when the squamocolumnar junction is not fully visualized at colposcopy. Endocervical curettage is preferred for all patients aged older than 40 years. Endocervical curettage is acceptable for all nonpregnant patients undergoing colposcopy but may be omitted when a subsequent excisional procedure is planned, the endocervical canal does not admit a sampling device, or in nulliparous patients aged younger than 30 years, with cytology reported as atypical squamous cells of undetermined significance or low-grade squamous intraepithelial lesion regardless of whether the squamocolumnar junction is fully visualized. Endocervical curettage is unacceptable in pregnancy. Conclusions: These guidelines for ECC add to the 2017 consensus recommendations for colposcopy practice in the United States.Source
Massad LS, Perkins RB, Naresh A, Nelson EL, Spiryda L, Gecsi KS, Mulhem E, Kostas-Polston E, Zou T, Giles TL, Wentzensen N. Colposcopy Standards: Guidelines for Endocervical Curettage at Colposcopy. J Low Genit Tract Dis. 2023 Jan 1;27(1):97-101. doi: 10.1097/LGT.0000000000000710. Epub 2022 Oct 12. PMID: 36222824; PMCID: PMC9770112.DOI
10.1097/LGT.0000000000000710Permanent Link to this Item
http://hdl.handle.net/20.500.14038/51600PubMed ID
36222824Rights
Written work prepared by employees of the Federal Government as part of their official duties is, under the U.S. Copyright Act, a "work of the United States Government" for which copyright protection under Title 17 of the United States Code is not available. As such, copyright does not extend to the contributions of employees of the Federal Government.ae974a485f413a2113503eed53cd6c53
10.1097/LGT.0000000000000710