[Cervical conization in dysplasia and carcinoma in situ. Role of concomitant uterine curettage].

Abstract

Objective: Reevaluation of the usefulness of routine uterine curettage with every cervical cone biopsy.

Material: Retrospective analysis of 250 cervical cone biopsies over an 18 year period.

Results: 240 analysable cases were included. 90 patients had undergone cone biopsy only and 150 cone biopsy accompanied by uterine curettage. Curettage material was histologically normal 115 times (76.6%), negative or invalid 26 times (17.3%) and pathological 10 times (6.6%). Pathology consisted of 7 cases of hyperplasia and 3 of endometritis.

Conclusion: Routine uterine curettage whenever cone biopsy is performed is of no value other than in certain special circumstances concerning clinical status and ultrasound findings.