Consistency Rates of Clinical Diagnosis and Histopathological Reports of Oral Lesions: A Retrospective Study

Fattahi, Shirin; Vosoughhosseini, Sepideh; Khiavi, Monir Moradzadeh; Mostafazadeh, Samira; Gheisar, A

doi:10.5681/joddd.2014.020

Cited by 7 publications

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“…In white and red lesions, oral lichen planus was the most commonly observed lesion, and it also had the highest percentage of concordance (88.6%). Similarly, Fattahi et al [ 14 ] in their study found the highest percentage of concordance for lichen planus (100%), and in another study, Goyal et al [ 21 ] found the lichen planus as the most common lesion in oral mucosal lesions with the clinicopathological concordance rate of 91.4%.…”

Section: Discussionmentioning

confidence: 82%

“…Another reason might be the exclusion of lesions developing in children or young adults. Moreover, a slight increase might be found in some specific lesions such as denture-related lesions and other prevalent lesions, which consequently makes a correct diagnosis of lesions easier [ 11 , 14 ]. Despite the results of the present study, two previous studies [ 12 , 13 ] 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: Discussionmentioning

confidence: 99%

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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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Section: Discussionmentioning

confidence: 82%

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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“…In terms of congruence between white and red lesions, oral lichen planus stands out as the most prevalent and consistent (88.6%). While Fattahi et al [20] found a 100% clinicopathological concordance rate for lichen planus, Goyal et al [21] found just a 91.4% concordance rate.…”

Section: Discussionmentioning

confidence: 99%

Association between clinical and histopathological oral lesion diagnoses among Iraqi patients

Hussain¹,

Al-Ameri²,

Al-Diwan³

2023

Int. J. Adv. Acad. Stud.

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Introduction: A potentially malignant oral lesion (PMOL) refers to a morphologically altered tissue that has a higher likelihood of developing cancer compared to its apparently normal counterpart. Among PMOLs, leukoplakia is the most common lesion found in the oral mucosa. The aim of study is to evaluate clinical characteristics of oral lesions by comparing with histopathological diagnosis. Method: included a descriptive analysis of data from 75 patients seen between May 2022 and May 2023 at the oral and maxillofacial surgery clinic at AL-Yarmouk Teaching Hospital, Ghazi AL-Hariri Hospital for specialized Surgery. Information about the patient's age, the lesion's location and duration, the clinician's diagnosis, and the ultimate histological diagnosis and course of therapy. Each patient's medical history was taken after a thorough examination of their mouth. Results: 81.8% of oral surgeon-diagnosed malignant lesions are also hitopathologist-diagnosed. The hitopathologist confirms 97.8% of oral surgeon-diagnosed benign lesions. Conclusion: Clinical evaluation and histological diagnosis were significantly correlated, indicating that Iraqi maxillofacial surgeons were well-trained and that clinical diagnosis of mouth cancer was highly correlated with pathological diagnosis.

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The Agreement Rate between Radiographic Interpretation and Histopathologic Diagnosis of Jaw Lesions

Almazrooa

Binmadi

Khalifa

et al. 2019

Radiology Research and Practice

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Background. To determine the agreement rate between histopathologic diagnosis and radiographic interpretation of jaw lesions. Methods. Cases with jaw pathologies that have diagnostically adequate histopathologic samples and radiographic examinations were reviewed retrospectively. Two board-certified oral and maxillofacial pathologists (OMFP) independently determined the histopathologic diagnosis, while two board-certified oral and maxillofacial radiologists (OMFR) determined the radiographic interpretations independently. Then the histopathologic diagnosis and the radiographic interpretation were compared for agreement. Results. A total of 104 cases (53% females) were included with a mean age of 31 years. The agreement rate between histopathologic diagnosis and radiographic interpretation was 49%. OMFP required OMFR consultations to reach a diagnosis in 16% of cases. The most commonly encountered lesions were by far odontogenic cysts of inflammatory origin and the agreement for this disease category was 49.1%. However, agreement rates were highest for the disease category of tumors (62.5%). Conclusion. The agreement rate between OMFP and OMFR was higher for tumors than cysts. Agreement rates between OMFP and OMFR improved with efficient consultation between the two disciplines.

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Consistency Rates of Clinical Diagnosis and Histopathological Reports of Oral Lesions: A Retrospective Study

Cited by 7 publications

References 0 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

Association between clinical and histopathological oral lesion diagnoses among Iraqi patients

The Agreement Rate between Radiographic Interpretation and Histopathologic Diagnosis of Jaw Lesions

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