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Objective:  using endocervical curettage during colposcopy is currently being questioned; its usefulness as a diagnostic tool in patients having suspected squamous changes in pap smear is controversial. The classical approach to this problem adopted by many authors has yielded little help; it consists of matching histological results from the cervix with the problem itself. The current research provides a new approach by including biopsy orientated towards searching for lesions which were not suspected during examination; this was aimed at trying to improve the safety of colposcopy when used as a diagnostic tool. Methodology:  results from 306 women having abnormal pap smear and endocervical curettage during colposcopic evaluation were thus compared to histopathological results from cervical specimens in the search for non-suspicious lesions during guided biopsy and analysed according to colposcopy and pap smear results. Results:  overall, sensitivity was low while specicity and negative predictive values were high. Conclusion:  the outcomes led to the conclusion that endocervical curettage performed in line with strict indications, according to the type of colposcopy and pap smear abnormality, is of great help and improves the safety of colposcopic diagnosis.

revista colombiana de obstetricia y ginecología/revista colombiana de obstetricia y ginecología

Validez del curetaje endocervical en la detección de lesiones no sospechadas durante el estudio colposcópico de pacientes con citología anormal escamosa