CAN THE ENDOCERVICAL BRUSH SUBSTITUTE FOR ENDOCERVICAL CURETTAGE?
• ASCCP GUIDELINE: ENDOCERVICAL BRUSHING Brush is rotated m the canal 180 degrees to limit bleeding and to increase specimen adequacy Alternately, brush can be gently rotated in the canal 5-10 turns with light pressure against walls Immediately following brush withdrawl, material is applied to the slide and fixed Alternately, brush can be cut from the shaft and placed in formalin Cox Yr. J Lower Gen Toad Dis 1997; 1: 251. • ASCCP GUIDELINE: ENDOCERVICAL BRUSH VS. CURETTE Increased sensitivity of the brush may make it the preferred instrument for endocervical sampling False+ from brush are likely from contamination from passing over lesions at or near the cervical os Other brush false positives from brush effect of cell distortion or cell clumping Many authors suggest brush be the initial screen, followed by more specific ECC if brush is positive Cox JT. J Lower Gen Tract Dis 1997; 1: 251. • BRUSH TECHNIQUE THAT LIMITS FALSE POSITIVE RESULTS Slide sheath (straw) over the brush Place dis
