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Journal of Lower Genital Tract Disease:
Original Articles

Endocervical Sampling: A Comparison of Endocervical Brush, Endocervical Curette, and Combined Brush with Curette Techniques

Gibson, Cheryl A. MD*; Trask, Carol E. MD; House, Patricia MPH, PhD; Smith, Susan F. MD*; Foley, Marion FNP*; Nicholas, Cate MS, PA§

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Abstract

Objective: This study was conducted to compare the collection of endocervical specimens by endocervical brush, curette, and a combined curette and brush technique.

Methods: Women underwent colposcopy with endocervical curettage using one of 3 collection methods.

Results: The endocervical brush produced equivalent amounts of tissue and endocervical cells compared to the curette alone or combined techniques. More squamous and glandular atypia and SIL/AIS were found when a brush was used, but a statistically significant difference was not noted. The brush alone produced a significantly greater percentage of samples that were insufficient for diagnosis and more specimens without stromal components. The brush with the curette as a combined technique provided no improvement in amounts of tissue, endocervical cells/clusters, or amount of stroma retrieved.

Conclusion: Each technique has advantages and disadvantages in terms of what types of components are collected and what diagnosis may be determined from the sample taken.

©2001The American Society for Colposcopy and Cervical Pathology

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