Valoración del endocérvix por legrado: correlación con citología, cambios colposcópicos y biopsias exocervicales

We analyzed 1980 endocervical curettage procedures carried out at the Lower Genital Tract Diseases Unit at the Virgen de las Nieves University Hospital in Granada (Spain) and performed during clinical examination with curettes sized between 1 and 00 during a 3-year period. The results were classified as normal, low-grade squamous intraepithelial lesions, high-grade squamous intraepithelial lesions, and cancer. A significantly different distribution was found when the diverse categories of the Bethesda cytologic classification, colposcopy categorization of major and minor changes, satisfactory or unsatisfactory colposcopy, and the histological results of colposcopy-directed exocervical biopsy were compared.