Concomitant endocervical curettage and cervical conization.

We present a series of 94 endocervical curettages (ECC) performed directly after cutting a cervical cone specimen. In 7 patients the ECC gave insufficient material for a histological diagnosis, but in 9 patients it contained CIN. The top of the cone contained CIN in 17 cases. The correlation between the histological results from the top of the cone and the ECC was poor. The presence of persistent disease after conization was studied in relation to both the status of the top of the cone and to the ECC. For the latter we found a sensitivity of 0.50 and a specificity of 0.95. The top of the cone showed a sensitivity of 0.80 and a specificity of 0.88. It is concluded that ECC is of little additional value in predicting persisting disease.