Concordance between clinical and histopathological diagnoses of biopsied oral cavity lesions

Journal of Clinical and Analytical Medicine Pub Date : 2019-03-01 DOI:10.4328/jcam.6053

A. Altan

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引用次数: 1

Abstract

DOI: 10.4328/JCAM.6053 Received: 18.10.2018 Accepted: 04.11.2018 Published Online: 04.11.2018 Printed: 01.03.2019 J Clin Anal Med 2019;10(2): 220-4 Corresponding Author: Ahmet Altan, Gaziosmanpasa University, Faculty of Dentistry, Ali Sevki Erek Yerleskesi, Tokat, Turkey. GSM: +905057013189 F.: +90 356212 4225 E-Mail: dt.ahmetaltan@gmail.com ORCID ID: 0000-0003-2041-6364 Abstract Aim: The aim of this study was to compare the clinical and histopathological diagnoses of biopsied oral cavity lesions, to evaluate the diagnostic concordance characteristics of these lesions and to reveal the demographic characteristics of lesions. Material and Method: In this retrospective study, the histopathological reports of patients who underwent biopsy between February 2013 and May 2018 were examined and analyzed. Gender, age, location of the lesion, clinical and final histopathological diagnoses were determined from patient records. The lesions were divided into three main categories according to their final histopathological diagnosis: Group 1 (Developmental, inflammatory, reactive lesions of the jaws), Group 2 (Cystic lesions), and Group 3 (Tumors and tumor-like lesions). Results: The records of 506 patients were examined in the study. Patients’ ages ranged from 8 to 80 years (mean: 37.1 ± 17.5). The distribution of lesions by groups was as follows: Group 1: 105 (20.8%), Group 2: 333 (65.8%), and Group 3: 68 (13.4%).Two hundred and seventy-five of the patients were male (54.3%) and 231 of them were female (45.7%). Two hundred and fifteen of the lesions were localized in the maxilla (42.5%) and 291 of them were localized in the mandible (57.5%). The concordance rate of diagnoses was 87.4% as a result of the comparison of clinical and final histopathological diagnoses. Discussion: The clinician’s knowledge about the lesion has a significant effect on the concordance between clinical and histopathological diagnoses. The correct and early diagnosis of lesions will prevent unnecessary treatments and delayed surgical operations.

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口腔活检病变的临床和组织病理学诊断的一致性

DOI: 10.4328 / JCAM.6053收稿日期:18.10.2018收稿日期:04.11.2018出版日期:04.11.2018印刷日期:01.03.2019 J clinin Anal Med 2019;10(2): 220-4通讯作者:Ahmet Altan, Gaziosmanpasa大学，牙科学院，Ali Sevki Erek Yerleskesi, Tokat，土耳其。摘要目的:本研究的目的是比较口腔活检病变的临床和组织病理学诊断，评价这些病变的诊断一致性特征，揭示病变的人口学特征。材料与方法:在本回顾性研究中，对2013年2月至2018年5月期间接受活检的患者的组织病理学报告进行检查和分析。性别，年龄，病变位置，临床和最终组织病理学诊断由患者记录确定。根据最终的组织病理学诊断，将病变分为三大类:1组(颌骨发育性、炎症性、反应性病变)，2组(囊性病变)，3组(肿瘤及肿瘤样病变)。结果:共检查了506例患者的病历。患者年龄8 ~ 80岁，平均37.1±17.5岁。各组病变分布如下:1组105例(20.8%)，2组333例(65.8%)，3组68例(13.4%)。其中男性275例(54.3%)，女性231例(45.7%)。上颌病变215例(42.5%)，下颌骨病变291例(57.5%)。临床诊断与最终病理诊断的符合率为87.4%。讨论:临床医生对病变的了解对临床和组织病理学诊断的一致性有重要影响。正确和早期诊断病变将防止不必要的治疗和延迟手术。

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Journal of Clinical and Analytical Medicine MEDICINE, GENERAL & INTERNAL-

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期刊介绍： The Annals of Clinical and Analytical Medicine is an international open-access journal containing peer-reviewed high-quality articles on clinical medicine in the areas of all research study types, reviews, and case reports. Our journal has become an important platform with the help of language support services, which make it easier for writers who have English as their second language to share their clinical experiences with the world.