Concordance between clinical and histopathologic diagnosis and an audit of oral histopathology service at a Nigerian tertiary hospital

Soyele, Olujide Oladele; Aborisade, Adetayo; Adesina, Olufunlola Motunrayo; Olatunji, Abiodun; Adedigba, Michael A; Ladeji, Adeola Mofoluwake; Adeola, Henry Ademola

doi:10.11604/pamj.2019.34.100.19388

Cited by 17 publications

(32 citation statements)

References 23 publications

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“…Moreover, a slight increase might be found in some speci c lesions such as denture-related lesions and other prevalent lesions, which consequently makes correct diagnosis of lesions easier. Despite the results of the present study, two previous studies [11,12] have also observed a higher concordance index in women, while another study [2] has reported slightly higher discordance rates for the female patients' lesions compared to the male patients' ones.…”

Section: Discussioncontrasting

confidence: 99%

“…However, in Forman et al's research [11], age was found to be signi cantly associated with accuracy between clinical and histologic diagnoses. Furthermore, in the current study, the highest compatibility rate was observed in the 9th and 10th decades of life, which is almost consistent with other similar reports, demonstrating that the highest percentage of agreement rate was in the 7th decade and older age [12][13][14][15][16]. The reason for the greater compatibility rate between clinical and pathological diagnoses in this age group may possibly be the loss of teeth, thereby the reduced number of odontogenic lesions and irritation associated with them.…”

Section: Discussionsupporting

confidence: 93%

“…However, compared to the above-mentioned rates, the rates in the studies conducted by Tatli et al [2] and Forman et al [11] were higher (93.3% and 94.4%, respectively). In a study by Soyele et al [12], clinicopathological reports of 592 biopsied cases during the period of 2008-2017 were retrieved and then analyzed. Accordingly, they recorded the concordance rate as 54.6%, which was similar to results of Poudel et al's study [7] (54.6%).…”

Section: Discussionmentioning

confidence: 99%

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Correlation Between Clinical and Histopathological Diagnoses in Oral Cavity Lesions: a 12-year Retrospective Study

Azad¹,

Niya²,

Torabi³

et al. 2021

Preprint

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Background: Proper diagnosis plays key roles in the treatment and prognosis of all diseases. Although histopathological diagnosis is still known as the gold standard, final diagnosis becomes difficult unless precise clinical descriptions are obtained. So, this study aimed to evaluate the consistency of the clinical and histopathological diagnoses of all oral and maxillofacial biopsy specimens in a 12–year duration.Methods: After receiving the ethical approval from Shiraz University of Medical Sciences, archive files and clinical findings related to 3001 patients who had been referred to the Department of Oral Pathology during a 12-year period, were reviewed. The recorded information in files included age, sex, lesion’s location, clinical and histopathological diagnoses, and specialty of dentists.Results: Out of 3001 cases included and reviewed in this study, 2167 cases (72.2%) were consistent between clinical and histopathologic diagnoses. The highest frequency of oral lesions was found in the mandibular bone and the lowest one was in the floor of mouth. Age, sex, and clinician’s specialty were indicated to have no significant effect on diagnosis (p> 0.05), but location and type of lesion affected that (p <0.05). In regard to location, the highest consistency of clinical and histopathologic diagnoses was observed in mouth floor lesions and the lowest one was in gingival mucosa. In terms of lesion category, the highest and the lowest consistency rates belonged to white and red lesions and pigmented lesions, respectively.Conclusions: The results of the present study show that the consistency of clinical and histopathological diagnoses was three times more than their inconsistency, and the accuracy of the clinicians was largely acceptable.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Correlation Between Clinical and Histopathological Diagnoses in Oral Cavity Lesions: a 12-year Retrospective Study

Azad¹,

Niya²,

Torabi³

et al. 2021

Preprint

View full text Add to dashboard Cite

show abstract

“…However, in Forman et al's research [ 12 ], age was found to be significantly associated with accuracy between clinical and histological diagnoses. Furthermore, in the current study, the highest concordance rate after the tenth, ninth, and eighth decades (with a total of 9 cases in almost 3000 cases) was observed in the sixth decade of life, which is almost consistent with other similar reports, demonstrating that the highest percentage of concordance rate was observed in the seventh decade and older age [ 13 – 17 ]. The reason for the greater concordance rate between clinical and pathological diagnoses in this age group may possibly be the loss of teeth, thereby the reduced number of odontogenic lesions and irritation associated with them.…”

Section: Discussionsupporting

confidence: 92%

“…This can be accrued to more sample size and the diversity of lesions in our study. In a study by Soyele et al [ 13 ], clinicopathological reports of 592 biopsied cases during the period of 2008–2017 were retrieved and then analyzed. Accordingly, they recorded the concordance rate as 54.6%, which was similar to the results of Poudel et al's study [ 7 ] (54.6%).…”

Section: Discussionmentioning

confidence: 99%

Correlation between Clinical and Histopathological Diagnoses in Oral Cavity Lesions: A 12-Year Retrospective Study

Farzinnia

Sasannia

Torabi

et al. 2022

International Journal of Dentistry

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Objective. Proper diagnosis plays a key role in the treatment and prognosis of all diseases. Although histopathological diagnosis is still known as the gold standard, final diagnosis becomes difficult unless precise clinical descriptions are obtained. So, this study aimed to evaluate the concordance of the clinical and histopathological diagnoses of all oral and maxillofacial biopsy specimens in a 12-year duration. Materials and Methods. Archive files and clinical findings related to 3001 patients who had been referred to the Department of Oral Pathology during a 12-year period were reviewed. The recorded information in files included age, sex, lesion’s location, clinical and histopathological diagnoses, and specialty of dentists. Results. Out of 3001 cases included and reviewed in this study, 2167 cases (72.2%) were consistent between clinical and histopathologic diagnoses. Age, sex, and clinician’s specialty were indicated to have no significant effect on diagnosis (p values = 0.520, 0.310, 0.281, respectively), but location and type of lesion affected that (p values = 0.040 and 0.022, respectively). In regard to location, the highest concordance of clinical and histopathologic diagnoses was observed in mouth floor lesions, and the lowest one was in gingival mucosa. In terms of lesion category, the highest and the lowest concordance rates belonged to white and red lesions and pigmented lesions, respectively. Conclusion. The results of the present study show that the consistency of clinical and histopathological diagnoses was three times more than their inconsistency, and the accuracy of the clinicians was largely acceptable.

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Concordance of clinician, Chat-GPT4, and ORAD diagnoses against histopathology in Odontogenic Keratocysts and tumours: a 15-Year New Zealand retrospective study

Kim,

Seo,

De Silva

2024

Oral Maxillofac Surg

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Concordance between clinical and histopathologic diagnosis and an audit of oral histopathology service at a Nigerian tertiary hospital

Cited by 17 publications

References 23 publications

Correlation Between Clinical and Histopathological Diagnoses in Oral Cavity Lesions: a 12-year Retrospective Study

Correlation Between Clinical and Histopathological Diagnoses in Oral Cavity Lesions: a 12-year Retrospective Study

Correlation between Clinical and Histopathological Diagnoses in Oral Cavity Lesions: A 12-Year Retrospective Study

Concordance of clinician, Chat-GPT4, and ORAD diagnoses against histopathology in Odontogenic Keratocysts and tumours: a 15-Year New Zealand retrospective study

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