Evaluation of consistency rate between clinical and histopathological diagnosis of oral soft tissue lesions
BACKGROUND: Some of the oral lesions including malignant tumors of mesenchymal and epithelial origin have same clinical features. Most of them are white or red patches with undermined edge. Also, in some cases, the microscopic view of histopathologic examination is not diagnostic. So, the integratio...
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| Format: | Article |
| Language: | English |
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Vesnu Publications
2019-09-01
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| Series: | Chronic Diseases Journal |
| Subjects: | |
| Online Access: | http://cdjournal.muk.ac.ir/index.php/cdj/article/view/416 |
| _version_ | 1797874141000368128 |
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| author | Negin Ronasi Shokoofeh Jamshidi |
| author_facet | Negin Ronasi Shokoofeh Jamshidi |
| author_sort | Negin Ronasi |
| collection | DOAJ |
| description | BACKGROUND: Some of the oral lesions including malignant tumors of mesenchymal and epithelial origin have same clinical features. Most of them are white or red patches with undermined edge. Also, in some cases, the microscopic view of histopathologic examination is not diagnostic. So, the integration of clinical and pathological information leads to the correct diagnosis. The aim of this study was the evaluation of consistency rate between clinical and histopathological diagnosis of oral malignant tumors of mesenchymal and epithelial origin.
METHODS: This cross-sectional retrospective study was performed in four centers of oral pathology of Hamedan University of Medical Sciences, Hamedan, Iran, during January to June, 2016. The data were collected using the archived files of patients. Collected data from the files included age, sex, lesion location, lesion type, and first and second clinical and histopathologic diagnosis. Finally, histopathological findings were compared with the first and second clinical diagnosis. Data were analyzed using SPSS software.
RESULTS: Ninety-one and seventy-nine of studied files were related to men and women, respectively. Most frequent malignant lesion was related to squamous cell carcinoma (SCC) (52.9%), followed by melanoma (29.4%). The consistency rate of first and second clinical and histopathologic diagnosis was 68.2% and 15.2%, respectively. Higher consistency rate was observed in melanoma, SCC, and fibrosarcoma lesions.
CONCLUSION: High inconsistency rate between clinical and histopathological diagnosis was found in some cases which may have originated from low diagnostic knowledge of clinicians or their misconception from misdiagnosis. Therefore, the improvement of knowledge and awareness of clinicians by conducting retraining courses is necessary.
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| first_indexed | 2024-04-10T01:27:15Z |
| format | Article |
| id | doaj.art-7d00519634734e04bb0a6969539d4858 |
| institution | Directory Open Access Journal |
| issn | 2588-7297 2345-2226 |
| language | English |
| last_indexed | 2024-04-10T01:27:15Z |
| publishDate | 2019-09-01 |
| publisher | Vesnu Publications |
| record_format | Article |
| series | Chronic Diseases Journal |
| spelling | doaj.art-7d00519634734e04bb0a6969539d48582023-03-13T09:33:28ZengVesnu PublicationsChronic Diseases Journal2588-72972345-22262019-09-0174219225https://doi.org/10.22122/cdj.v7i4.416Evaluation of consistency rate between clinical and histopathological diagnosis of oral soft tissue lesionsNegin Ronasi0https://orcid.org/0000-0002-6002-1896Shokoofeh Jamshidi1https://orcid.org/0000-0002-0646-1882Department of Oral Medicine, School of Dentistry, Hamedan University of Medical Sciences, Hamedan, Iran5 Dental Research Center, Hamedan University of Medical Sciences, Hamedan, Iran 6 Department of Oral and Maxillofacial Pathology, School of Dentistry, Hamedan University of Medical Sciences, Hamedan, IranBACKGROUND: Some of the oral lesions including malignant tumors of mesenchymal and epithelial origin have same clinical features. Most of them are white or red patches with undermined edge. Also, in some cases, the microscopic view of histopathologic examination is not diagnostic. So, the integration of clinical and pathological information leads to the correct diagnosis. The aim of this study was the evaluation of consistency rate between clinical and histopathological diagnosis of oral malignant tumors of mesenchymal and epithelial origin. METHODS: This cross-sectional retrospective study was performed in four centers of oral pathology of Hamedan University of Medical Sciences, Hamedan, Iran, during January to June, 2016. The data were collected using the archived files of patients. Collected data from the files included age, sex, lesion location, lesion type, and first and second clinical and histopathologic diagnosis. Finally, histopathological findings were compared with the first and second clinical diagnosis. Data were analyzed using SPSS software. RESULTS: Ninety-one and seventy-nine of studied files were related to men and women, respectively. Most frequent malignant lesion was related to squamous cell carcinoma (SCC) (52.9%), followed by melanoma (29.4%). The consistency rate of first and second clinical and histopathologic diagnosis was 68.2% and 15.2%, respectively. Higher consistency rate was observed in melanoma, SCC, and fibrosarcoma lesions. CONCLUSION: High inconsistency rate between clinical and histopathological diagnosis was found in some cases which may have originated from low diagnostic knowledge of clinicians or their misconception from misdiagnosis. Therefore, the improvement of knowledge and awareness of clinicians by conducting retraining courses is necessary. http://cdjournal.muk.ac.ir/index.php/cdj/article/view/416clinical laboratory techniqueshistopathologyoral soft tissue lesions |
| spellingShingle | Negin Ronasi Shokoofeh Jamshidi Evaluation of consistency rate between clinical and histopathological diagnosis of oral soft tissue lesions Chronic Diseases Journal clinical laboratory techniques histopathology oral soft tissue lesions |
| title | Evaluation of consistency rate between clinical and histopathological diagnosis of oral soft tissue lesions |
| title_full | Evaluation of consistency rate between clinical and histopathological diagnosis of oral soft tissue lesions |
| title_fullStr | Evaluation of consistency rate between clinical and histopathological diagnosis of oral soft tissue lesions |
| title_full_unstemmed | Evaluation of consistency rate between clinical and histopathological diagnosis of oral soft tissue lesions |
| title_short | Evaluation of consistency rate between clinical and histopathological diagnosis of oral soft tissue lesions |
| title_sort | evaluation of consistency rate between clinical and histopathological diagnosis of oral soft tissue lesions |
| topic | clinical laboratory techniques histopathology oral soft tissue lesions |
| url | http://cdjournal.muk.ac.ir/index.php/cdj/article/view/416 |
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