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Comparison of Tissue Yield Using Frictional Fabric Brush Versus Sharp Curettage For Endocervical Curettage

Diedrich, Justin T. MD, MSCI1; Rathore, Sumra MD, MPH2; Bentz, Joel S. MD3

Journal of Lower Genital Tract Disease: October 2017 - Volume 21 - Issue 4 - p 304–306
doi: 10.1097/LGT.0000000000000324
Original Research Articles: Cervix and HPV

Objective: The aim of the study was to evaluate and compare the diagnostic yield of conventional endocervical curettage (ECC) with fabric-based ECC in a consistent physician group.

Materials and Methods: This is a retrospective case-control study of patients who underwent ECC both before and after introduction of a fabric-based ECC device. Histologic examination of curettings was categorized as satisfactory, limited, or inadequate. The Kruskall-Wallis test was used to compare proportions of gross descriptions and final diagnoses between groups.

Results: Between January 2010 and July 2011, 9234 ECCs were performed using conventional ECC technique. From September 2011 to October 2013, 774 ECCs were performed with the fabric-based ECC. Using the conventional ECC technique, 7809 (84.6%) of specimens were satisfactory, 1037 (11.2%) were limited, and 388 (4.2%) were inadequate and repeat biopsy was recommended. With fabric ECC, 705 (91.1%) of specimens were satisfactory, 64 (8.3%) were limited, and 5 (0.6%) were inadequate, and repeat biopsy was recommended. There were significantly fewer inadequate specimens with the fabric-based ECC (4.2% vs 0.6%, p < .001).

Conclusions: Fabric-based ECC may significantly decrease inadequate and limited ECC specimens.

Fabric-based endocervical curettage may significantly decrease inadequate and limited endocervical curettage specimens.

1Family Planning Services Department of Obstetrics & Gynecology, University of California, Riverside Riverside, CA; 2Aurora Diagnostics Bernhardt Laboratories, Jacksonville, FL; 3Aurora Diagnostics, Las Vegas, NV

Reprint requests to: Justin T. Diedrich, MD, MSCI, FACOG, 19330 Jesse Lane, Suite 100 Riverside, CA 92508. E-mail: diedrich@ucr.edu

The study was supported by Institutional Departmental Funds.

This study was determined to have exempt status by the Institutional Review Board IRBCo (Buena Park, CA).

J.T.D. is a Nexplanon trainer for Merck and a contraceptive trainer for Upstream USA. The other authors have declared that they have no conflicts of interest.

Copyright © 2017 by the American Society for Colposcopy and Cervical Pathology