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Investigation of Keyes skin biopsy instrument for cervical biopsy procedures versus Kevorkian biopsy forceps
1Department of Obstetrics and Gynecology, Turkey
2Department of Pathology, Zeynep Kamil Women's and Children's Hospital, Istanbul, Turkey
*Corresponding Author(s): S. Ayas E-mail:
Objective: We aimed to investigate the utility and efficacy of the Keyes skin biopsy instrument for cervical biopsy procedures. Material and methods: A prospective clinical trial was conducted on 50 women with cervical lesions. Colposcopy-guided cervical biopsies were collected using a Keyes biopsy punch and a Kevorkian biopsy forceps and the two methods were compared with definitive histopathological examination of the specimens obtained by the loop electrosurgical excision procedure (LEEP), conization or hysterectomy. Results: There were no differences in speed of collection, diagnostic value of specimens, complication rates, or sample quality. The sensitivity, specificity, positive and negative predictivity of specimens were all 100% for both methods. Conclusions: The Keyes biopsy punch was found to be a safe, rapid and accurate diagnostic tool in cervical biopsy procedures. Based on the results of this study, the use of a Keyes punch instrument can be recommended as an alternative to other cervical biopsy methods.
Keyes biopsy instrument; Cervical biopsy
S. Ayas,l Akoz,A. Giirbiiz,E. Eskicirak,H. Cetiner,A. Karateke. Investigation of Keyes skin biopsy instrument for cervical biopsy procedures versus Kevorkian biopsy forceps. European Journal of Gynaecological Oncology. 2007. 28(3);214-216.
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[2] Sellors J.W., Sankaranarayanan R.: "The colposcopic examination step-by-step. Colposcopy and Treatment of Cervical Intraepithelial Neoplasia: a Beginners'Manual". Lyon, International Agency for Research on Cancer, 2003, 37.
[3] Sellars J.W., Sankaranarayanan R.:'Treatment of cervical intraepithelial neoplasia by loop electrosurgical excision procedure (LEEP). Colposcopy and Treatment of Cervical Intraepithelial Neoplasia: a Beginners'Manual". Lyon, International Agency for Research on Cancer, 2003, 103.
[4] Keats M.M., Weeren R., Greenlee P., Evans K.L., Minihan A.C "Investigation of keyes skin biopsy instrument for intestinal biopsy versus a standard biopsy technique". J. Am. Anim. Hosp. Assoc., 2004, 40, 405.
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