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Retrospective study of the concordance between clinical and histopathological diagnosis in oral pathology

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Objectives: Evaluate the agreement between the clinical and histopathological diagnosis of oral lesions in patients submitted to biopsies. Identify the most frequent oral lesions and their correlation with age, gender, and anatomical location. Methods: A retrospective study of 368 pathological examinations collected between 2008 and 2018, corresponding to biopsies performed at the Clínica Universitária Egas Moniz. A detailed analysis of the histopathological reports attached to the patients’ files was made and the variables gender, age, anatomical site, clinical diagnosis, and histopathological diagnosis was evaluated. Results: The most affected gender was female (55%); the most common age group was 61-70 years old; The most biopsied anatomical location was the gum (23.9%); the five most common pathological entities were fibroma(26.4%),root cyst(8.7%), oral lichen planus(7.6%), hemangioma (6.3%) and oral leukoplakia (6.0%). On agreement, 74.5% of the cases were concordant and 25.5% discordant. The most concordant lesions were Radicular Cyst (90.6%), Traumatic Injury (87.5%), Hemangioma (82.6%), Fibroma (82.5%) and Mucocele (82.5%). Conclusion: this study proves a significant level of agreement between clinical and histopathological diagnosis in this particular area, consistently obtained in a ten years period of time.

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Agreement Clinical Diagnosis Histological Diagnosis Oral Lesions

Contexto Educativo

Citação

Ramos, A., Borrecho, G. ., Zagalo, L., Proença, L., Maia, P., Gomes, J., & Marques, J. (2021). Retrospective Study of the Concordance Between Clinical and Histopathological Diagnosis in Oral Pathology. International Journal of Medical and Surgical Sciences, 8(1), 1–13. https://doi.org/10.32457/ijmss.v8i1.661

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Editora

Universidad Autónoma de Chile

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