USMLE Step 2 CK Lecture Notes 2019: Obstetrics/Gynecology (Kaplan Test Prep)

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DILATION AND CURETTAGE


Dilation and curettage (D&C) is a minor outpatient surgical procedure
performed under anesthesia in an operating room under either local-intravenous
or general anesthesia. It is a diagnostic test that examines the histology of
endometrial lesions.


D&C is performed similarly to an endometrial biopsy. However, the cervix
frequently requires dilation with cervical dilators prior to introduction of the
curette. The curette is used to scrape the endometrium, obtaining larger amounts
of endometrial tissue that are then sent to pathology.

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