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

(Kiana) #1

ENDOCERVICAL CURETTAGE


In endocervical curettage (ECC), the mucous membrane of the cervical canal is
scraped at the time of colposcopy using a spoon-shaped instrument called a
curette. This is usually is performed as a follow-up for an abnormal Pap smear.


Performed   if  normal-appearing    metaplastic epithelium  is  seen    on  colposcopy
to enter the endocervical canal
May also be performed if no lesion is identified on the ectocervix
Not performed on pregnancy patients due to risk of heavy bleeding
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