Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “CURETTAGE”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 163 records · Page 9Linked to original sources
PubMed1988

Endocervical curettage in the evaluation of cervical disease in patients with adequate colposcopy.

The purpose of this study was to investigate the importance of endocervical curettage in the outpatient management of women with cervical neoplasia. From 1975-1985, 1500 patients were evaluated in our colposcopy clinic. Endocervical curettage was done routinely, even when colposcopy was adequate; 122 patients with abnormal cytology, an adequate colposcopic examination, and dysplastic epithelium in the endocervical curettings underwent conization. Of these 122 patients, 111 (91%) had cervical intraepithelial neoplasia on cone, one had microinvasion, and none had invasive cancer. In this group, there were 11 patients with abnormal cytology, normal coloposcopically directed biopsies of the ectocervix, and positive endocervical curettages. Nine of these 11 had dysplasia confirmed by conization, which would have been missed if endocervical curettage had not been performed.

Biopsy↗
PubMed1983

Endometrial findings following curettage in 2018 women according to age and indications.

A retrospective study on 2018 Scandinavian women undergoing conventional and aspiration curettage was performed. The outcome in terms of endometrial pathology was analyzed against age and indications. A large number of operations (38.2%) were performed on young women before the age of 45 years. 98% of endometrial samples were normal from 430 younger than 40 years. Better selection of cases might help to reduce the number of operations. In women of reproductive age the relation between normal and pathological findings was the same for both methods with the exception that conventional curettage seemed to detect more polyps. The frequency of insufficient samples after aspiration curettage increased markedly with age. Postmenopausal bleeding remains a strong indication for conventional curettage.

Adult↗
PubMed1980

Root planing and curettage.

Root planing and curettage are at least as satisfactory as other surgical techniques for the gain and maintenance of attachment in most periodontal pockets. Reduction of pocket depth and root exposure are less following subgingival curettage than after other modalities of surgery. It is not known if soft tissue curettage adds anything to the results of scaling and root planing. Curettage is demanding with regards to technical skill and time, and may be impractical in many instances compared to flap surgery.

Dental Instruments↗
PubMed1995

Desmoplastic fibroma. Aggressive curettage as a surgical alternative for treatment.

In this article, the authors present 5 patients with desmoplastic fibroma and review the literature. Four patients had aggressive curettage with bone graft, and 1 had aggressive curettage alone. Although the literature reports that many patients have recurrence after curettage, there have been no recurrences in these 5 patients during followup periods ranging from 5 years 6 months to 9 years. Although wide excision has been recommended in the literature, treatment with aggressive curettage achieved clinical and radiographic control of the lesions for at least an intermediate duration of followup.

Adolescent↗
PubMed1995

Giant-cell tumours with fracture at diagnosis. Curettage and acrylic cementing in ten cases.

Between 1971 and 1991 we treated 98 patients with giant-cell tumours, 15 of whom presented with a pathological fracture. They were most common around the knee (12). Nine fractures were intra-articular. The tumours were treated by curettage and acrylic cementing (10), excision and endoprosthesis (1), excision and allograft (1), curettage and autologous graft (2) or by resection of the fibular head (1). Four patients had local recurrence, three of whom were cured by repeat curettage and cementing. Pathological fracture through a giant-cell tumour is not a contraindication to treatment by curettage and acrylic cementing.

Adolescent↗
PubMed1994

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

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.

Adult↗
PubMed1993

Routine endometrial curettage is not indicated at the time of cervical cone biopsy.

Endometrial currettage is commonly performed after cervical cone biopsy to detect occult endometrial abnormalities. Recently, this practice has been questioned and specific criteria promulgated to reduce the number of concomitant endometrial curettages performed at the time of cone biopsy. To investigate the reliability of these criteria, we reviewed the records of 370 women who underwent cold-knife cervical cone biopsy, 323 (87.3 percent) of whom underwent concomitant endometrial curettage. Significant endometrial abnormalities were present in only 18 women, each of whom met at least one specific criterion for endometrial currettage. In contrast, 23 endometrial currettings either contained cervical tissue (five patients) or were insufficient for diagnosis (18 patients). The incidence of complications directly attributable to endometrial curettage was 1.6 percent. We conclude that limiting endometrial curettage at the time of cone biopsy to those women meeting specific criteria would significantly reduce the number of endometrial currettings performed, without hindering the ability to detect significant endometrial abnormalities. Such a reduction would minimize surgical morbidity and could save $13 million annually in the United States.

Adolescent↗
PubMed1993

The value of endocervical curettage at time of cervical cone biopsy.

Two hundred eighty-nine patients were evaluated over a 23-month period to assess the efficacy of postcone biopsy endocervical curettage at the time of cervical conization. One hundred eleven patients were excluded because the endocervical curettage was insufficient or not performed, the final pathology on the cone biopsy and endocervical curettage revealed no dysplasia or cancerous process, or the endocervical margins were not assessed, leaving a total of 178 patients in the study population. A negative conization endocervical margin virtually assures no disease in the upper endocervical canal. The negative predictive value in this study population was 97%. We conclude that routine endocervical curettage is unnecessary for most patients and should be primarily considered for patients who are postmenopausal or for those receiving suboptimal conizations.

Adolescent↗
PubMed1977

Curettage-electrodesiccation treatment of basal cell carcinomas.

Cure rates after treatment of basal cell carcinomas with curettage-electrodesiccation were compared among three groups: group A, 597 lesions treated in the Skin and Cancer Unit in 1958 to 1962; group B, 91 lesions treated in the Skin and Cancer Unit in 1970; and group C, 210 lesions treated in private practice in 1962 to 1973. The following were the five-year cumulative recurrence rates: group A, 18.8%; group B, 9.6%; and group C, 5.7%. In all three groups, there were high recurrence rates for tumors treated on the nose, paranasal areas, and forehead. Few complications occurred after curettage-electrodesiccation with the exception of hypertrophic scars. The cosmetic results following curettage-electrodesication improved with time. Curettage-electrodesiccation, when performed by experienced physicians, is a very useful modality for the treatment of basal cell carcinomas, with cure rates of over 90%, satisfactory cosmetic results, and few significant complications.

Ambulatory Care↗
PubMed1995

Comparison of the endocervical brush and the endocervical curettage for the evaluation of the endocervical canal.

OBJECTIVE: To evaluate and compare the efficacy in obtaining an adequate endocervical sampling using the endocervical brush and the endocervical curettage. METHODS: Analysis of the cytology and histology of samples obtained from patients referred to the University of Puerto Rico School of Medicine Tertiary Care Center Anaplasia Clinics for colposcopy due to an abnormal Pap smear having atypical cells or higher as classified according to the Bethesda System. All patients underwent evaluation of the endocervical canal with an endocervical brush and an endocervical curettage. RESULTS: Fifty three of fifty-eight patients had correlating endocervical brush Papanicolaou smear and endocervical curettage. Only five patients presented discrepancies. All endocervical brush samples had sufficient tissue for diagnosis. CONCLUSION: The endocervical curettage is operator dependent, is difficult to perform in patients with a stenotic cervical os or in menopausal patients. The endocervical brush is easier to use, malleable and has a lower processing cost. In view of these findings evaluation of the endocervix can be safely performed with the use of an endocervical brush. When used properly, the endocervical brush has a sensitivity of 90%, a specificity of 92.1% and a positive predictive value of 87.5%.

Adolescent↗
PubMed1997

Should endocervical excision and curettage be done during LEEP?

OBJECTIVE: To evaluate the need for routine endocervical sampling and endocervical curettage at the time of loop electrosurgical excision procedure (LEEP) in patients with satisfactory colposcopic assessment being treated for dysplasia. STUDY METHODS: One hundred and eight patients having a satisfactory colposcopy referred for excision of their dysplasia with LEEP (four case) were studied. The procedure was carried out with a standard ectocervical excision to a depth of 6 mm and an endocervical excision centrally to a further 3 mm. An endocervical curettage was performed at the end of the procedure. RESULTS: Of the 108 patients, 94 (87%) had a negative endocervical excision and endocervical curettage. Thirteen percent had a positive endocervical excision or endocervical curettage. Only 2 patients had endocervical pathology worse than the ectocervical pathology. There was no difference in the distribution of CIN I to CIN III in patients who had a negative endocervical excision or a positive endocervical excision. In the overall group, complications arose in 2.7% of patients and were minor and self-limiting. The overall long-term follow-up cure rate was 99% in the entire group. CONCLUSIONS: Satisfactory colposcopy is not an adequate discriminant for the use of an ectocervical excision only for patients with dysplasia. Thirteen percent of patients would theoretically have had persistent disease if an endocervical excision was not performed. Adequate endo- and ectocervical excisions are an important component of the LEEP procedure and cannot be separated.

Adolescent↗
PubMedDate not supplied

Endometrial pathology at dilatation and curettage in breast cancer patients: comparison of tamoxifen users and nonusers.

PURPOSE: We conducted this retrospective study to determine the endometrial pathologic findings at the time of dilatation and curettage in breast cancer patients on tamoxifen and compare these findings with those from a similar group of patients not receiving tamoxifen. METHODS: The pathologic findings from endometrial curettings in all breast cancer patients who underwent a dilatation and curettage between January 1986 and June 1993 at our institution were retrospectively reviewed. Medical records and office charts were reviewed to determine the patient age, history, and duration of tamoxifen use, and the presence of symptoms (vaginal spotting or bleeding). RESULTS: Two hundred and forty breast cancer patients were identified. Seventy-five patients (31%) were taking tamoxifen (mean duration, 26 months) at the time of dilatation and curettage. Fifty-three of these patients were symptomatic. Twenty-two of the patients taking tamoxifen were asymptomatic. One hundred and sixty-five patients (69%) were not taking tamoxifen. Of these patients, 109 were symptomatic and 56 were asymptomatic. In both symptomatic and asymptomatic breast cancer patients, there was no difference in the incidence of endometrial polyps, hyperplasia, or adenocarcinoma when comparing tamoxifen users with nonusers. CONCLUSION: Short-term tamoxifen use in breast cancer patients was not found to alter the endometrial pathologic findings at the time of dilatation and curettage.

Adenocarcinoma↗
PubMed1975

Assessment of diagnostic aspiration curettage as an outpatient procedure.

Aspiration curettage proved acceptable to patients and medical staff when incorporated into a busy outpatient practice. The diagnostic reliability of curettings obtained was shown to be 93.5 per cent accurate. In all patients where mucus only is obtained, where symptoms persist or recur, or when aspiration curettage is too distressing, conventional curettage is mandatory.

Cytodiagnosis↗
PubMed1984

Prophylactic antibiotics for curettage abortion.

Opinion is divided as to the advisability of routine use of prophylactic antibiotics for curettage abortion. Six studies, including three randomized clinical trials, suggest that prophylaxis reduces infectious morbidity associated with curettage abortions by about one half. Three other studies, two involving prophylaxis for instillation abortions and one involving a vaginal antiseptic for curettage abortion, support the hypothesis that antimicrobial prophylaxis reduces morbidity. Tetracyclines are commonly used for this purpose. The cost of routine prophylaxis even with an expensive tetracycline would appear to be offset by the savings in direct and indirect costs. Prophylaxis may help prevent both short-term morbidity and potential late sequelae, such as ectopic pregnancy and infertility.

Abortion, Induced↗
PubMed1982

Incomplete and inevitable abortion: treatment by suction curettage in the emergency department.

Suction curettage for inevitable and incomplete spontaneous abortion has been performed by emergency physicians in the emergency department of the Central Group Health Hospital in Seattle for more than seven years. The equipment and techniques used in our practice are described, and guidelines for treatment are presented. Also presented is an analysis of 111 consecutive patients treated with suction curettage during an 18-month period with a minimum follow up of six months. The complication rate was minimal (4.5%), and compares favorably with previously published results of inpatient treatment. Several significant advantages of treating incomplete and inevitable abortion with suction curettage in the emergency department are described.

Abortion, Incomplete↗
PubMed1983

Effect of vacuum curettage on the concentrations of plasma 6-keto-prostaglandin F1 alpha and serum thromboxane B2.

Serial plasma samples collected before and after vacuum curettage followed by methylergometrine injection in 10 women were assayed for 6-keto-prostaglandin F1 alpha (6-keto-PGF1 alpha). The mean 6-keto-PGF1 alpha concentration was 97.2 (SE 8.8) pg/ml before cervical dilatation. The concentration rose to 128.2 (SE 13.5) pg/ml (P less than 0.10) immediately and to 133.3 (SE 17.8) pg/ml (P less than 0.05) 1 h after curettage and returned to the initial value within 5 h. Neither methylergometrine nor anaesthesia, nor non-gynaecological surgery, caused changes in the level of plasma 6-keto-PGF1 alpha. The capacity of the platelets to produce thromboxane A2 during spontaneous clotting of blood did not change during vacuum curettage, anaesthesia and non-gynaecological surgery, nor after methylergometrine. The evidence suggests that the pregnant myometrium and/or intrauterine tissues capable of generating prostacyclin (PGI2) in vitro may release PGI2 also in vivo.

6-Ketoprostaglandin F1 alpha↗
PubMed1982

A comparison of endometrial sampling with the Accurette and Vabra aspirator and uterine curettage.

Endometrial samples were obtained with the Accurette and the Vabra aspirator and were compared with samples obtained by dilation and curettage in 40 patients with postmenopausal bleeding. The degree of discomfort and patient acceptability of the two outpatient procedures, the adequacy of the samples for cytological and histological examination, and the cytological and histological diagnosis were compared. The Accurette and the Vabra aspirator could not be inserted in 5 out of 40 patients because of cervical stenosis. From approximately 30 of the remaining 35 patients, adequate samples were obtained. Six cases of endometrial hyperplasia and 3 of endometrial carcinoma were diagnosed by all the methods employed, except for 1 case of endometrial hyperplasia in which the sample obtained with the Accurette was inadequate for histological examination but was nevertheless adequate for cytological examination. Of the 5 patients in whom endometrial sampling by both the Accurette and the Vabra aspirator could not be performed because of cervical stenosis, 2 cases of endometrial carcinoma were found on uterine curettage. In patients with cervical stenosis, however, dilatation and curettage under general anaesthesia is mandatory. The Accurette has the advantage of being less expensive and more suitable for routine endometrial sampling for the detection of endometrial hyperplasia or carcinoma and dating of the endometrium in cases of infertility. Both the Accurette procedure and Vabra aspiration appeared to be reliable methods of obtaining endometrial samples.

Curettage↗
PubMed1980

Electrocardiographic changes induced by suction curettage for elective termination of pregnancy.

To determine if significant electrocardiographic changes occur during suction curettage for elective termination of pregnancy, continuous electrocariogram tracings were obtained from 103 patients prior to, during, and after suction curettage. Sixty-eight of 103 patients (66%) demonstrated transient sinus techycardia presumably attributable to pain (P < 0.001). Eleven of 103 patients (10.6%) demonstrated premature atrial contractions or premature ventricular contractions during suction curettage (P < 0.005). When more rigid (8 or 9 mm) curets were used, a threefold increased incidence of extrasystoles was noted. In a comparison of the incidents of electrocardiographic changes in parous versus nulliparous patients, no statistically significant differences could be demonstrated. (Unlike in previous published reports on intrauterine manipulation, bradycardia was not noted.)

Abortion, Induced↗