What does a negative cervical biopsy mean?
A negative test means that everything is normal, and further action is usually not required until your next Pap smear. Pap testing is usually recommended every 3 years for ages 21 to 65 . Your doctor may also recommend HPV testing every 5 years .
What does endocervical curettage test for?
Endocervical curettage is when the healthcare provider takes some tissue from inside your cervix. This tissue is sent to a lab. It is checked for any problems, such as cancer. The cervix is the narrow, lower part of your womb (uterus).
What does a negative colposcopy mean?
A normal (or “negative”) result means that no cell changes were found on your cervix. This is good news. But you still need to get Pap tests in the future. New cell changes can still form on your cervix.
How accurate is endocervical curettage?
Results: Comparison between ECC and final diagnosis showed a perfect match in 362 patients (81.3%). For 189 patients with pre-cancerous or cancerous endocervical lesions, the sensitivity, specificity, and positive and negative predictive values were 87.3%, 96.9%, 95.4% and 91.9%, respectively.
How is an endocervical curettage performed?
A procedure done after an abnormal Pap test result in which a sample of tissue is scraped from the lining of the cervical canal (the inner part of the cervix that connects the uterus to the vagina) using a spoon-shaped instrument called a curette.
Can HPV come back after negative test?
An HPV test will come back as a positive test result or a negative test result: Negative HPV test result: High-risk HPV was not found. You should have the test again in 5 years. You may need to come back sooner if you had abnormal results in the past.
Is endocervical curettage the same as a Pap smear?
An endocervical curettage is a procedure performed after abnormal results from a Pap test. A sample of tissue is taken from the lining of the cervical canal, using a curette, a spoon-shaped tool. The tissue sample is taken to a lab to be checked under a microscope to determine if there is any indication of disease.
Does negative for intraepithelial lesion or malignancy mean no HPV?
What does the term negative for intraepithelial lesion or malignancy (NILM) mean? Negative for intraepithelial lesion or malignancy (NILM) means that no pre-cancerous or cancerous cells were seen in your Pap smear. It is a normal result.
How accurate are cervical biopsies?
Results. The overall accuracy of biopsy in comparison with definitive surgery was 71.9% for all entities—benign lesions, low-grade squamous intraepithelial lesions, high-grade squamous intraepithelial lesions (HSILs), and cervical carcinoma—with an underdiagnosis rate of 11.8% and an overdiagnosis rate of 16.5%.
Is surgery a curettage?
A dilation and curettage procedure, also called a D&C, is a surgical procedure in which the cervix (lower, narrow part of the uterus) is dilated (expanded) so that the uterine lining (endometrium) can be scraped with a curette (spoon-shaped instrument) to remove abnormal tissues.
Is endocervical curettage a biopsy?
Endocervical curettage The cone may include tissue from both the endocervix, as the point of the cone, and the exocervix, as the base. The sample may also include the transformation zone. This type of biopsy is used to remove precancers completely and even treat cancer if it’s in an early stage.
Is it possible to test positive for HPV and then negative?
Yes, this does happen occasionally. As you are aware, certain types of human papillomavirus (HPV) act as the causative agents of cervical cancer. The HPV test detects the presence of HPV DNA or RNA.
What is endocervical curettage?
Endocervical curettage is when the healthcare provider takes some tissue from inside your cervix. This tissue is sent to a lab. It is checked for any problems, such as cancer. The cervix is the narrow, lower part of your womb (uterus). It opens up into your vagina. The length of the cervix is called the cervical canal.
Does endocervical curettage increase cost of colposcopy?
Conflict of Interest Statement: The author reports no potential conflicts of interest. Endocervical curettage (ECC) is a minor but painful procedure. It increases the cost of colposcopy but may identify occult cervical lesions whose detection may allow treatment that aborts oncogenesis, saving lives.
Do you need to stay in the hospital after an endocervical curettage?
The procedure might be done in either an outpatient surgical center or a hospital, and you should think about having a ride home lined up afterward due to the anesthesia. Typically, you won’t need to stay in the hospital after having your endocervical curettage.
How does age affect the yield of endocervical cell count (ECC)?
The yield of ECC rises with age, as the squamocolumnar junction recedes into the endocervix, where lesions may arise and progress undetected. Targeting ECC to highest risk women increases yield among sampled women but reduces sensitivity.
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