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dc.contributor.authorMassad, L Stewart
dc.contributor.authorPerkins, Rebecca B
dc.contributor.authorNaresh, Amber
dc.contributor.authorNelson, Erin L
dc.contributor.authorSpiryda, Lisa
dc.contributor.authorGecsi, Kimberly S
dc.contributor.authorMulhem, Elie
dc.contributor.authorKostas-Polston, Elizabeth
dc.contributor.authorZou, Tianle
dc.contributor.authorGiles, Tashima Lambert
dc.contributor.authorWentzensen, Nicolas
dc.date.accessioned2023-01-27T18:56:16Z
dc.date.available2023-01-27T18:56:16Z
dc.date.issued2022-10-12
dc.identifier.citationMassad 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.en_US
dc.identifier.eissn1526-0976
dc.identifier.doi10.1097/LGT.0000000000000710en_US
dc.identifier.pmid36222824
dc.identifier.urihttp://hdl.handle.net/20.500.14038/51600
dc.description.abstractObjective: 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.en_US
dc.language.isoenen_US
dc.relation.ispartofJournal of Lower Genital Tract Diseaseen_US
dc.relation.urlhttps://doi.org/10.1097/lgt.0000000000000710en_US
dc.rightsWritten 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.en_US
dc.subjectendocervical curettageen_US
dc.subjectcolposcopyen_US
dc.subjectscreeningen_US
dc.titleColposcopy Standards: Guidelines for Endocervical Curettage at Colposcopyen_US
dc.typeJournal Articleen_US
dc.source.journaltitleJournal of lower genital tract disease
dc.source.volume27
dc.source.issue1
dc.source.beginpage97
dc.source.endpage101
dc.source.countryUnited States
dc.identifier.journalJournal of lower genital tract disease
refterms.dateFOA2023-01-27T18:56:17Z
dc.contributor.departmentPathologyen_US


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