Lesiones blancas de la cavidad bucal. Concordancia Diagnóstica
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| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Universidad de Ciencias Médicas de La Habana
2014-09-01
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| Series: | Revista Habanera de Ciencias Médicas |
| Online Access: | http://www.revhabanera.sld.cu/index.php/rhab/article/view/331 |
| _version_ | 1818299377210359808 |
|---|---|
| author | Orlando Guerra Cobian Humberto Sarracent Pérez Joaquín Urbizo Vélez |
| author_facet | Orlando Guerra Cobian Humberto Sarracent Pérez Joaquín Urbizo Vélez |
| author_sort | Orlando Guerra Cobian |
| collection | DOAJ |
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line-height: 150%; font-family: "Arial","sans-serif";">Introducción</span></strong><span style="font-size: 12.0pt; line-height: 150%; font-family: "Arial","sans-serif";">: Las lesiones bucales resultan un fuerte indicador del estado de salud del individuo, y dentro de estas, las lesiones de apariencia blanquecina están sujetas a errores diagnósticos dada su similitud y variada forma de presentación. <strong style="mso-bidi-font-weight: normal;">Objetivo:</strong> Determinar la concordancia existente entre el diagnóstico clínico e histopatológico de lesiones bucales blanquecinas, así como caracterizar dichas lesiones socio-demográficamente y distribuirlas topográficamente. <strong style="mso-bidi-font-weight: normal;">Material y Métodos: </strong>Se realizó un estudio descriptivo retrospectivo de corte transversal en una muestra de 52 pacientes del total con lesiones de apariencia blanquecina en la cavidad bucal sometidos a biopsia para confirmar diagnóstico en el Departamento de Cirugía de la<span style="mso-spacerun: yes;"> </span>Facultad de Estomatología “Raúl González Sánchez”, <span style="mso-bidi-font-weight: bold;">en el período comprendido de enero 2013 a diciembre 2013. Se tomaron datos sociodemográficos y diagnósticos de modelo de solicitud de biopsia, informe histopatológico y registro estadístico de la Institución. La información recogida fue sometida al estadígrafo Índice de Kappa para evaluar concordancia de diagnóstico clínico e histopatológico. <strong>Resultados</strong>: Pacientes con edades entre 40 y 49 años resultaron los más afectados (28,85%).<span style="mso-spacerun: yes;"> </span>Predominaron lesiones blanquecinas en pacientes de piel blanca (59,62%) y femeninas (61,54%). Un 34,33% de las lesiones se ubicaron en la mucosa del carrillo. Clínicamente, 50% de las lesiones clasificaron como leucoplasia e histopatológicamente 42,31%. Existió muy buena concordancia entre ambos diagnósticos para leucoplasia (k=0,84) liquen plano (k=0,83). La concordancia total del grupo resultó buena (k=0,79). <strong>Conclusiones</strong>: La concordancia total de la muestra<span style="mso-spacerun: yes;"> </span>fue<span style="mso-spacerun: yes;"> </span>buena, aunque la concordancia diagnóstica de leucoplasia y liquen plano clasificó como muy buena.</span></span></p> <p class="MsoNormal" style="margin-bottom: .0001pt; text-align: justify; line-height: 150%;"><span style="font-size: 12.0pt; line-height: 150%; font-family: "Arial","sans-serif"; mso-bidi-font-weight: bold;"> </span></p> <p class="MsoNormal" style="margin-bottom: .0001pt; text-align: justify; line-height: 150%;"><strong><span style="font-size: 12.0pt; line-height: 150%; font-family: "Arial","sans-serif";">Palabras clave:</span></strong><span style="font-size: 12.0pt; line-height: 150%; font-family: "Arial","sans-serif"; mso-bidi-font-weight: bold;"> Lesiones bucales blanquecinas, diagnóstico clínico, diagnóstico histopatológico, concordancia.</span></p> <span 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| first_indexed | 2024-12-13T04:50:15Z |
| format | Article |
| id | doaj.art-569545e7578f4cb992e4bdc60124741d |
| institution | Directory Open Access Journal |
| issn | 1729-519X |
| language | English |
| last_indexed | 2024-12-13T04:50:15Z |
| publishDate | 2014-09-01 |
| publisher | Universidad de Ciencias Médicas de La Habana |
| record_format | Article |
| series | Revista Habanera de Ciencias Médicas |
| spelling | doaj.art-569545e7578f4cb992e4bdc60124741d2022-12-21T23:59:02ZengUniversidad de Ciencias Médicas de La HabanaRevista Habanera de Ciencias Médicas1729-519X2014-09-01135176Lesiones blancas de la cavidad bucal. Concordancia DiagnósticaOrlando Guerra Cobian0Humberto Sarracent Pérez1Joaquín Urbizo Vélez2Facultad de Estomatologia ´Raúl Gonzalez Sánchez¨Facultad de Estomatologia ´Raúl Gonzalez Sánchez¨Facultad de Estomatologia ´Raúl Gonzalez Sánchez¨<!--[if gte mso 9]><xml> <o:OfficeDocumentSettings> <o:TargetScreenSize>800x600</o:TargetScreenSize> </o:OfficeDocumentSettings> </xml><![endif]--> <p class="MsoNormal" style="text-align: justify;"><!--[if gte mso 9]><xml> <w:WordDocument> <w:View>Normal</w:View> <w:Zoom>0</w:Zoom> <w:TrackMoves /> <w:TrackFormatting /> <w:HyphenationZone>21</w:HyphenationZone> <w:PunctuationKerning /> <w:ValidateAgainstSchemas /> <w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid> <w:IgnoreMixedContent>false</w:IgnoreMixedContent> <w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText> <w:DoNotPromoteQF /> <w:LidThemeOther>ES</w:LidThemeOther> <w:LidThemeAsian>X-NONE</w:LidThemeAsian> <w:LidThemeComplexScript>X-NONE</w:LidThemeComplexScript> <w:Compatibility> 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mso-bidi-theme-font:minor-bidi;} --> <!--[endif] --></p><p class="MsoNormal" style="margin-bottom: .0001pt; text-align: justify; line-height: 150%;"><strong style="mso-bidi-font-weight: normal;"><span style="font-size: 12.0pt; line-height: 150%; font-family: "Arial","sans-serif";">Introducción</span></strong><span style="font-size: 12.0pt; line-height: 150%; font-family: "Arial","sans-serif";">: Las lesiones bucales resultan un fuerte indicador del estado de salud del individuo, y dentro de estas, las lesiones de apariencia blanquecina están sujetas a errores diagnósticos dada su similitud y variada forma de presentación. <strong style="mso-bidi-font-weight: normal;">Objetivo:</strong> Determinar la concordancia existente entre el diagnóstico clínico e histopatológico de lesiones bucales blanquecinas, así como caracterizar dichas lesiones socio-demográficamente y distribuirlas topográficamente. <strong style="mso-bidi-font-weight: normal;">Material y Métodos: </strong>Se realizó un estudio descriptivo retrospectivo de corte transversal en una muestra de 52 pacientes del total con lesiones de apariencia blanquecina en la cavidad bucal sometidos a biopsia para confirmar diagnóstico en el Departamento de Cirugía de la<span style="mso-spacerun: yes;"> </span>Facultad de Estomatología “Raúl González Sánchez”, <span style="mso-bidi-font-weight: bold;">en el período comprendido de enero 2013 a diciembre 2013. Se tomaron datos sociodemográficos y diagnósticos de modelo de solicitud de biopsia, informe histopatológico y registro estadístico de la Institución. La información recogida fue sometida al estadígrafo Índice de Kappa para evaluar concordancia de diagnóstico clínico e histopatológico. <strong>Resultados</strong>: Pacientes con edades entre 40 y 49 años resultaron los más afectados (28,85%).<span style="mso-spacerun: yes;"> </span>Predominaron lesiones blanquecinas en pacientes de piel blanca (59,62%) y femeninas (61,54%). Un 34,33% de las lesiones se ubicaron en la mucosa del carrillo. Clínicamente, 50% de las lesiones clasificaron como leucoplasia e histopatológicamente 42,31%. Existió muy buena concordancia entre ambos diagnósticos para leucoplasia (k=0,84) liquen plano (k=0,83). La concordancia total del grupo resultó buena (k=0,79). <strong>Conclusiones</strong>: La concordancia total de la muestra<span style="mso-spacerun: yes;"> </span>fue<span style="mso-spacerun: yes;"> </span>buena, aunque la concordancia diagnóstica de leucoplasia y liquen plano clasificó como muy buena.</span></span></p> <p class="MsoNormal" style="margin-bottom: .0001pt; text-align: justify; line-height: 150%;"><span style="font-size: 12.0pt; line-height: 150%; font-family: "Arial","sans-serif"; mso-bidi-font-weight: bold;"> </span></p> <p class="MsoNormal" style="margin-bottom: .0001pt; text-align: justify; line-height: 150%;"><strong><span style="font-size: 12.0pt; line-height: 150%; font-family: "Arial","sans-serif";">Palabras clave:</span></strong><span style="font-size: 12.0pt; line-height: 150%; font-family: "Arial","sans-serif"; mso-bidi-font-weight: bold;"> Lesiones bucales blanquecinas, diagnóstico clínico, diagnóstico histopatológico, concordancia.</span></p> <span 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| spellingShingle | Orlando Guerra Cobian Humberto Sarracent Pérez Joaquín Urbizo Vélez Lesiones blancas de la cavidad bucal. Concordancia Diagnóstica Revista Habanera de Ciencias Médicas |
| title | Lesiones blancas de la cavidad bucal. Concordancia Diagnóstica |
| title_full | Lesiones blancas de la cavidad bucal. Concordancia Diagnóstica |
| title_fullStr | Lesiones blancas de la cavidad bucal. Concordancia Diagnóstica |
| title_full_unstemmed | Lesiones blancas de la cavidad bucal. Concordancia Diagnóstica |
| title_short | Lesiones blancas de la cavidad bucal. Concordancia Diagnóstica |
| title_sort | lesiones blancas de la cavidad bucal concordancia diagnostica |
| url | http://www.revhabanera.sld.cu/index.php/rhab/article/view/331 |
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