Anastasiadis P, von Lüdinghausen M
Geburtshilfe Frauenheilkd. 1978 Jan;38(1):45-8.
The early detection of carcinoma of the cervix is successful due to the systematic cytologic and colposcopic examination of the largest number of women possible. In cases with endocervical polyps a diagnostic curettage is customarily done along with removal of the polyp. The curettage which requires admission to hospital and carrie a risk of operative complications is an extensive procedure for the diagnosis of a cervical polyp. Because of the high accuracy of cytologic and colposcopic diagnosis it is suggested to omit the curettage in the management of non-bleeding polyps in the premenopausal woman. The asymptomatic polyp should be followed by cytology or office removal with obligatory histologic examination. Follow-up cytology of the cervical canal is necessary.
通过对尽可能多的女性进行系统的细胞学和阴道镜检查，子宫颈癌的早期检测取得了成功。对于患有宫颈息肉的病例，通常在切除息肉的同时进行诊断性刮宫。刮宫需要住院，且有手术并发症的风险，是一种用于诊断宫颈息肉的广泛程序。由于细胞学和阴道镜诊断的高准确性，建议在绝经前女性非出血性息肉的管理中省略刮宫。无症状息肉应进行细胞学随访或在门诊切除并进行必要的组织学检查。宫颈管的随访细胞学检查是必要的。
