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  • Title: Necessity for endocervical curettage in elderly women undergoing colposcopy.
    Author: Dinh TA, Dinh TV, Hannigan EV, Yandell RB, Dillard EA.
    Journal: J Reprod Med; 1989 Sep; 34(9):621-4. PubMed ID: 2810244.
    Abstract:
    A retrospective study of 164 women aged 45 and older undergoing colposcopy for abnormal Papanicolaou smears showed that 49% had adequate colposcopy and 51%, inadequate colposcopy. Of those with adequate colposcopy, 23% had positive endocervical curettage (ECC). That finding required conization, which detected one case of microinvasive and two of invasive cervical carcinoma. Of those with inadequate colposcopy, 64% had positive ECC. All patients with inadequate colposcopy underwent conization, which detected 4 cases of microinvasive and 11 of invasive carcinoma. Therefore, women with inadequate colposcopy had a higher risk of invasive disease. ECC is a necessary step in the colposcopic evaluation of elderly women.
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