Colposcopy: Gynecological vision in viewing oral lesions
Context: The diagnosis of malignant and potentially malignant epithelial lesions of the oral mucosa cannot be based solely on clinical findings. The histologic evaluation of a representative biopsy specimen thus becomes necessary. The site for biopsy however is always a subjective choice that someti...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2014-01-01
|
| Series: | Indian Journal of Pathology and Microbiology |
| Subjects: | |
| Online Access: | http://www.ijpmonline.org/article.asp?issn=0377-4929;year=2014;volume=57;issue=2;spage=223;epage=230;aulast=Nayyar |
| _version_ | 1828161146919583744 |
|---|---|
| author | Abhishek Singh Nayyar Mubeen Khan U D Bafna Ahmed Siddique H C Gayitri |
| author_facet | Abhishek Singh Nayyar Mubeen Khan U D Bafna Ahmed Siddique H C Gayitri |
| author_sort | Abhishek Singh Nayyar |
| collection | DOAJ |
| description | Context: The diagnosis of malignant and potentially malignant epithelial lesions of the oral mucosa cannot be based solely on clinical findings. The histologic evaluation of a representative biopsy specimen thus becomes necessary. The site for biopsy however is always a subjective choice that sometimes raises doubts about its representativeness. So far, no simple and reliable method is available for the selection of the most appropriate area for biopsy. Colposcopy is helpful in the selection of these sites of epithelial dysplasia depending upon the vascular patterns. Aims: This study was planned to assess the role of Colposcopic examination in the selection of biopsy site in patients with varying grades of oral epithelial dysplasia at various sites. Settings and Design: One hundred and eighty patients between the ages of 30 and 60 years clinically diagnosed with leukoplakia and carcinoma buccal mucosa were included in the study. Materials and Methods: For each of the subjects, a thorough clinical examination followed by Colposcopic assessment was carried out for the selection of biopsy site from the involved mucosa. The histopathological findings were then compared in the two cases and results analyzed. Statistical Analysis Used: The statistical analysis was performed using a paired t-test. Results: In our study, sensitivity and specificity for the selection of biopsy site by Colposcopic examination was found to be higher for leukoplakia than for carcinoma buccal mucosa. Conclusions: It was concluded that Colposcopic examination was found to be significant in the selection of biopsy site for leukoplakia while clinical criterion was found to be more appropriate for carcinoma buccal mucosa cases. |
| first_indexed | 2024-04-12T00:32:56Z |
| format | Article |
| id | doaj.art-41b39f215cfa480bb28543ce1b2697f7 |
| institution | Directory Open Access Journal |
| issn | 0377-4929 |
| language | English |
| last_indexed | 2024-04-12T00:32:56Z |
| publishDate | 2014-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Pathology and Microbiology |
| spelling | doaj.art-41b39f215cfa480bb28543ce1b2697f72022-12-22T03:55:15ZengWolters Kluwer Medknow PublicationsIndian Journal of Pathology and Microbiology0377-49292014-01-0157222323010.4103/0377-4929.134672Colposcopy: Gynecological vision in viewing oral lesionsAbhishek Singh NayyarMubeen KhanU D BafnaAhmed SiddiqueH C GayitriContext: The diagnosis of malignant and potentially malignant epithelial lesions of the oral mucosa cannot be based solely on clinical findings. The histologic evaluation of a representative biopsy specimen thus becomes necessary. The site for biopsy however is always a subjective choice that sometimes raises doubts about its representativeness. So far, no simple and reliable method is available for the selection of the most appropriate area for biopsy. Colposcopy is helpful in the selection of these sites of epithelial dysplasia depending upon the vascular patterns. Aims: This study was planned to assess the role of Colposcopic examination in the selection of biopsy site in patients with varying grades of oral epithelial dysplasia at various sites. Settings and Design: One hundred and eighty patients between the ages of 30 and 60 years clinically diagnosed with leukoplakia and carcinoma buccal mucosa were included in the study. Materials and Methods: For each of the subjects, a thorough clinical examination followed by Colposcopic assessment was carried out for the selection of biopsy site from the involved mucosa. The histopathological findings were then compared in the two cases and results analyzed. Statistical Analysis Used: The statistical analysis was performed using a paired t-test. Results: In our study, sensitivity and specificity for the selection of biopsy site by Colposcopic examination was found to be higher for leukoplakia than for carcinoma buccal mucosa. Conclusions: It was concluded that Colposcopic examination was found to be significant in the selection of biopsy site for leukoplakia while clinical criterion was found to be more appropriate for carcinoma buccal mucosa cases.http://www.ijpmonline.org/article.asp?issn=0377-4929;year=2014;volume=57;issue=2;spage=223;epage=230;aulast=NayyarColposcopyepithelial dysplasiahistopathologicalpotentially malignant epithelial lesionsvascular pattern |
| spellingShingle | Abhishek Singh Nayyar Mubeen Khan U D Bafna Ahmed Siddique H C Gayitri Colposcopy: Gynecological vision in viewing oral lesions Indian Journal of Pathology and Microbiology Colposcopy epithelial dysplasia histopathological potentially malignant epithelial lesions vascular pattern |
| title | Colposcopy: Gynecological vision in viewing oral lesions |
| title_full | Colposcopy: Gynecological vision in viewing oral lesions |
| title_fullStr | Colposcopy: Gynecological vision in viewing oral lesions |
| title_full_unstemmed | Colposcopy: Gynecological vision in viewing oral lesions |
| title_short | Colposcopy: Gynecological vision in viewing oral lesions |
| title_sort | colposcopy gynecological vision in viewing oral lesions |
| topic | Colposcopy epithelial dysplasia histopathological potentially malignant epithelial lesions vascular pattern |
| url | http://www.ijpmonline.org/article.asp?issn=0377-4929;year=2014;volume=57;issue=2;spage=223;epage=230;aulast=Nayyar |
| work_keys_str_mv | AT abhisheksinghnayyar colposcopygynecologicalvisioninviewingorallesions AT mubeenkhan colposcopygynecologicalvisioninviewingorallesions AT udbafna colposcopygynecologicalvisioninviewingorallesions AT ahmedsiddique colposcopygynecologicalvisioninviewingorallesions AT hcgayitri colposcopygynecologicalvisioninviewingorallesions |