Endocervical Curettage for Dysplastic Lesions in ASC-US and LSIL Pap Smears

Endocervical curettage (ECC) is the procedure which involves circumferential scraping of the endocervical canal with a curette. Some colposcopists prefer to perform ECC in all colposcopic examinations of nonpregnant women, even though the colposcopic findings are normal and the entire transformation zone can be visualized. They believe that ECC performance can avoid missing of an occult preinvasive and invasive cervical cancers in the endocervical canal (Ferenczy, 1995; Pretorius et al., 2004; Puntachai et al., 2011; Schneider et al., 2012; ShacoLevy et al., 2013). On the other hand, other colposcopists suggest that ECC is an unnecessary procedure and should be done only in selected cases (Massad and Collins, 2003; Solomon et al., 2007; Gage et al., 2010). There are several