medigraphic.com
Centro de Investigaciones Regionales Dr. Hideyo Noguchi, Universidad Autónoma de Yucatán

2021, Number 2

<< Back Next >>

Rev Biomed 2021; 32 (2)

Concordance between the clinical and histopathological diagnoses of soft tissue lesions of the oral cavity

Navas-Aparicio MC, Hernández-Rivera P

Language: Spanish
References: 17
Page: 98-105
PDF size: 109.92 Kb.


ABSTRACT

Introduction. The literature shows that there is a discrepancy between the clinical and histopathological diagnosis of oral mucosa lesions, which may be due to the lack of knowledge of professionals, the variability of a disease and specific patient variables.
Objective. The purpose of this study was to determine the degree of concordance between the clinical and histopathological diagnosis of soft tissue lesions in the oral cavity, at the Faculty of Dentistry, Universidad de Costa Rica, during the period 2016-2018.
Material and methods. The study was based on analyzing the correlation between the clinical and histopathological diagnosis of soft tissue lesions in the oral cavity, in a group of 35 patients. The statistical technique was descriptive, using the mean and the measure of range dispersion, based on a distribution of frequencies, and in the analysis of concordance between both diagnoses, according to the data obtained.
Results. The total sample was 40 lesions, of which 2 were excluded. The female sex predominated in the study in 57.1%. The average age was 52.1 years. The correlation of the clinical and histological diagnosis in the study was 52.6%; being higher the percentage of success in focal fibrous hyperplasia lesions.
Conclusions. Although there was a correlation of clinical and histopathological diagnosis of 52.6%, it is essential to reinforce the professional skills and abilities to distinguish oral mucosa lesions in order to reach a definitive diagnosis, define a treatment and give the respective monitoring.


REFERENCES

  1. Ergun S, Ozel S, Koray M, Kürklü E, Ak G, Tanyeri H. Dentists´knowledge and opinions about oral mucosal lesions. Int J Oral Maxillofac Surg. 2009; 38: 1283-8. https://doi.org/10.1016/j.ijom.2009.07.004

  2. Vale EB, Ramos-Perez FM, Rodrigues GL, Carvalho EJ, Castro JF, Perez DE. A review of oral biopsies in children and adolescents: a clinicopathological study of a case series. J Clin Exp Dent. 2013; 5(3): e144-9. https://doi.org/10.4317/jced.51122

  3. Shivhare P, Gupta A, Yadav M, Konidena A, Shankarnarayan L. Evaluation of different diagnostic criteria of diseases manifesting the oral cavity – a review. Part -1. J Oral Biol Craniofac Res. 2016; 6(2): 135-41. https://doi.org/10.1016/j.jobcr.2015.12.012

  4. Mota-Ramírez A, Silvestre FJ, Simò JM. Oral biopsy in dental practice. Med Oral Patol Oral Cir Bucal. 2007; 12: E504-10

  5. Mendez M, Carrard VC, Haas AN, Lauxen IdaS, Barbachan JJ, Rados PV, Sant´Ana Filho M. A 10- year study of specimens submitted to oral pathology laboratory analysis: lesion occurrence and demographic features. Braz Oral Res. 2012; 26(3): 235-41

  6. Forman MS, Chuang S-K, August M. The accuracy of clinical diagnosis of oral lesions and patient-specific risk factors that affect diagnosis. J Oral Maxillofac Surg. 2015; 73: 1932-7. https://doi.org/10.1016/j. joms.2015.04.026

  7. Tatli U, Erdoğan Ö, Uğuz A, Üstün Y, Sertdemir Y, Damlar Í. Diagnostic concordance characteristics of oral cavity lesions. Scientific World Journal. 2013: 785929. https://doi.org/10.1155/2013/785929

  8. 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. https://doi.org/10.1016/s0035-1768(04)72309-8

  9. Sardella A, Demarosi F, Lodi G, Canegallo L, Rimondini L, Carrassi A. Accuracy of referrals to a specialist oral medicine unit by general medical and dental practitioners and the educational implications. J Dent Educ. 2007;71(4): 487-91

  10. Seoane J, Warnakulasuriya S, Varela-Centelles P, Esparza G, Dios PD. Oral cancer: experiences and diagnostic abilities elicited by dentists in North-western Spain. Oral Dis. 2006; 12(5): 487-92. https://doi.org/10.1111/ j.1601-0825.2005.01225.x

  11. Macan D, Kobler P, Knežević G, Grgurević J, Švajhler T, Krmpotić I, et al. Usporedba kliničke i patohistološke dijagnoze u oralnoj kirurgiji. Acta stomatologica Croatica. 1991; 25(3): 177-85. https://hrcak.srce. hr/100799

  12. Sepúlveda Infante R, Romero de León E. Proporción de concordancia entre los diagnósticos clínico e histopatológico bucofaciales durante 20 años. Rev Cubana Estomatol. 2011; 48(2): 129-35

  13. Patel KJ, De Silva HL, Tong DC, Love RM. Concordance between clinical and histopathologic diagnoses of oral mucosal lesions. J Oral Maxillofac Surg. 2011; 69(1): 125-33. https://dx.doi.org/10.11604%2Fpa mj.2019.34.100.19388

  14. Curra M, Salvadori G, Junges R, Filho Sant’ana M, Hugo FN, Martins MD. Accuracy of clinical diagnosis for the identification of potentially malignant disorders and malignant lip lesions. Braz. Oral Res. 2016; 30(1): e135. https://doi.org/10.1590/1807-3107bor-2016. vol30.0135

  15. Neville, BW, Damm, DD, Allen, CM and Chi, AC. Oral & Maxillofacial Pathology. 4th Ed. WB Saunders, Elsevier: Missouri; 2016. P. 475.

  16. Allen K, Farah CS. Screening and referral of oral mucosal pathology: a check-up of Australian dentists. Aust Dent J. 2015; 60: 52-8. https://doi.org/10.1111/ adj.12261

  17. Arnaoutakis D, Bishop J, Westra W, Califano JA. Recurrence patterns and management of oral cavity premalignant lesions. Oral Oncology. 2013; 49(8): 814- 7. https://doi.org/10.1016/j.oraloncology.2013.04.008




2020     |     www.medigraphic.com