Sepúlveda IR, Romero DE

Language: Spanish
References: 12
Page: 129-135
PDF size: 124.72 Kb.

ABSTRACT

To determine the proportion of agreement between the clinical and histopathologic diagnoses of study biopsies in the Oral Pathology Department. From the registry book from years 1989 to 2008 the histopathologic diagnoses of 2 183 biopsies were collected codifying the different study variables and were processed using Epi Info to obtain the frequencies end percentages. This study presents a 7.9 % of agreement, a slight agreement of 13.8 %, no-agreement of 7.9 % and without clinical diagnosis of 24.2 %. The salivary glands lesions showed the high agreement for the 66.8 % and for the bone tissue the non-odontogenic cysts occupied the first place of agreement for the 80.0 %. There was an acceptable agreement higher than other similar studies. There is the possibility to improve these features by means of a continuous updating of the clinical diagnoses.

REFERENCES

1. Espino-Otero S, Romero-Rodríguez J, Boza-Mejías Y, Acevedo-Sierra O, Quntana-Hijano I, Selme P. Concordancia clínico-histopatológica en lesiones de cabeza y cuello. Revista Científica de las Ciencias Médicas en Cienfuegos. [serie en Internet]. 2009 febrero 16; [citado 2010 febrero 22]; 7(1): [aprox. 4 p.] Disponible en: http://www.medisur.sld.cu/index.php/medisur/article/view/617

2. Rodu B, Romero de León E, Martínez Jr MG. Interuniversity microscopic slide exchanges: a mechanism for peer review and continuing education in oral pathology. J Oral Pathol. 1986;489-92.

3. Ono Y, Takahasi H, Inagi K, Nakayama M, Okamoto M. Clinical study of benign lesions in the oral cavity. Acta Otolaryngol. 2002;547:79-84.

4. Donohué Cornejo A, Leyva Huerta ER, Ponce Bravo S, Aldape Barrios B, Quezada Rivera D, Borges Yánez A, et al. Distribución de condiciones y lesiones de la mucosa bucal en pacientes adultos mexicanos. Rev Cubana Estomatol. 2007;44(1). [periódico en internet]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-75072007000100001&lng=es&nrm=iso

5. Moret Y, Rivera H, Cartaya M. Prevalencia de lesiones en la mucosa bucal de pacientes diagnosticados en el laboratorio central de histopatología bucal "Dr. Pedro Tinoco" de la Facultad de Odontología de la Universidad Central de Venezuela durante el período 1968-1987. Resultados preliminares. Acta odontol venez. 2007;45(2):240-3. ISSN 0001-6365 Disponible en: http://www.scielo.org.ve/scielo.php?script=sci_arttext&pid=S0001-63652007000200021&lng=es&nrm=iso>

6. Lee KH, Polonowita AD. Oral white lesions: pitfalls of diagnosis. Med J Aust. 2009;190(5):274-7.

7. Strheeman SE, Miteman PA. Diagnostic confidence and the accuracy of treatment decisions for radiopaque periapical lesions. Int Endo J. 1995;28:121-8.

8. Manion E, Cohen MB, Weydert J. Mandatory second opinion in surgical pathology referral material: clinical consequences of major disagreements. Am J Surg Pathol. 2008;32(5):732-7.

9. Aldape Barrios B, Padilla Martínez G, Cruz Legorreta B. Frecuencia de lesiones bucales histopatológicas en un laboratorio de patología bucal. Revista ADM. 2007;44(2):61-7.

10. De Rosa Lauro. Correlación entre Diagnóstico Clínico e Histopatológico en Estomatología. Paul Cirug Dent. 25:5-9,1971.

11. Macan D, Kobler P, Knezevic G, Grgurevic J, Svajhler T, Kromotic I, et al. Comparision of clinical and histopathological diagnosis in oral surgery. Acta Stomatol Croat. 1991;25(3):177-85.

12. Benyahya I, Maaroufi A, Jabri L, Haddou G. Clinicopathological discordance for lesions of the oral mucosa. Rev Stomatol Chir Maxillofac. 2004;105(4):211-4.