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Comparison of 2 Types of Cervical Specimens in Patients With a Pathological Screening Smear

Not Applicable
Conditions
Cervical Cancer
Pathological Screening Smear
Interventions
Device: Cytobrush
Device: Kevorkian curette
Registration Number
NCT04000477
Lead Sponsor
University Hospital, Lille
Brief Summary

The recommendations on the method and the realization of the cervico-uterine smears are clear. With regard to performing endocervical curettage, several methods are possible without precise consensus. In general, the Kevorkian curette is widely used. However, it is often reported by doctors and patients that curettage is painful. Some articles show that the cytobrush would be less painful. While keeping a percentage of correct curettage failures, it is sought to show that the cytobrush would improve the comfort of the patient during curettage.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
Female
Target Recruitment
588
Inclusion Criteria
  • Women followed for a cervical pathology requiring endocervical curettage:
  • AGC type (glandular cell atypia) with positive HPV test
  • Frottis ASC-H, LSIL, ASCUS HPV + with non-contributive colposcopy (ZT3)
Exclusion Criteria
  • Pregnant woman
  • Women under the age of 25 or over 65
  • Stenosis of the neck complete or tight not allowing the possible insertion of a curette (inadequate size cervical orifice and material)
  • Presence of a vaginal lesion on colposcopic examination

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
CytobrushCytobrush-
Kevorkian curetteKevorkian curette-
Primary Outcome Measures
NameTimeMethod
Percentage of sampling failuresonce time, Baseline

Unsatisfactory sampling will be defined by a specimen containing \<20 endocervical cells, \<3 epithelial flaps, and one specimen without stroma.

Secondary Outcome Measures
NameTimeMethod
Pain Assessment Using a Visual Analogue Scale (VAS)once time, Baseline
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