Correlation of Clinical and Histopathological Diagnosis of Oral Mucosa Lesions at the University of Costa Rica Between 2008 and 2015
DOI:
https://doi.org/10.15517/ijds.2021.44521Keywords:
Biopsy; Oral pathology; Bone; Epidemiology; Clinical diagnosis.Abstract
The objective of this study is to determine the existing concordance between the clinical and histopathological diagnosis of lesions in the oral mucosa at the Faculty of Dentistry of the University of Costa Rica (UCR). A retrospective study of 261 reports of oral lesions recovered from the biopsy archive of the UCR Faculty of Dentistry from 2008 to 2015. Of the total reports 165 were included in the analysis, 96 (36.8%) did not have any diagnostic hypotheses. The concordance between the clinical and histopathological diagnosis was verified by the Kappa test. Concordance with the first diagnostic hypothesis was presented in 114 (69.1%) cases, the value of kappa was 0.663 (substantial agreement) and 36.8% without clinical diagnosis only a description of the lesion. The premalignant lesions presented an excellent concordance (kappa=0.902). The concordance of the group of non-neoplastic proliferative lesions was moderate (kappa=0.504) and the dermatological and autoimmune conditions with negligible concordance (0.157). Concordance occurred in the majority of the patients investigated with a value corresponding to a substantial agreement, however, the percentage of reports that did not have a clinical hypothesis should be improved.
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Joseph B., Ali M., Dashti H., Sundaram D. Analysis of oral and maxillofacial pathology lesions over an 18 year period diagnosed at Kuwait University. J Invest Clin Dent. 2019; 10: e12432. DOI: https://doi.org/10.1111/jicd.12432
Gambino A., Carbone M., Broccoletti R., Carcieri P., Conrotto D., Carrozzo M., et al. A report on the clinical-pathological correlations of 788 gingival lesion. Med Oral Patol Oral Cir Bucal. 2017; 22 (6): e686-93. DOI: https://doi.org/10.4317/medoral.21845
Maturana-Ramírez A., Adorno-Farías D., Reyes-Rojas M., Farías-Vergara M., Aitken-Saavedra J. A retrospective analysis of reactive hyperplastic lesions of the oral cavity: study of 1149 cases diagnosed between 2000 and 2011, Chile. Acta Odontol Latinoam. 2015; 28 (2):103-7.
Boza Oreamuno Y., López Soto A. Análisis retrospectivo de las lesiones de la mucosa oral entre 2008-2015 en el internado clínico de odontología de la Universidad de Costa Rica. Población y Salud en Mesoamérica. 2019;16 (2): 0-18. DOI: https://doi.org/10.15517/psm.v0i0.34404
Bagan J., Sarrion G., Jimenez Y. Oral cancer: clinical features. Oral Oncol. junio de 2010; 46 (6): 414-7. DOI: https://doi.org/10.1016/j.oraloncology.2010.03.009
Warnakulasuriya S., Johnson N.W., Waal I. Van Der. Nomenclature and classification of potentially malignant disorders of the oral mucosa. J Oral Pathol Med. 2007; 36 (1): 575-80. DOI: https://doi.org/10.1111/j.1600-0714.2007.00582.x
Ono Y., Takahashi H., Inagi K., Nakayama M. Clinical Study of Benign Lesions in the Oral Cavity. Acta Otolaryngol. 2002; 122 (September): 79-84. DOI: https://doi.org/10.1080/000164802760057644
Agrawal R., Chauhan A., Kumar P. Spectrum of Oral Lesions in A Tertiary Care Hospital. J Clin Diagn Res [Internet]. 1 de junio de 2015; 9 (6): EC11-3. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4525516/
Barbosa R.P., Paiva M.D., Rodrigues T.L., Rodrigues F.G. Valorizando a biópsia na Clínica Odontológica. Arq em Odontol Belo Horiz. 2005; 41 (4): 318-28.
Aquino S., Martinelli D., Borges S., Bonan P., Martinelli Júnior H. Concordância entre diagnóstico clínico e histopatológico de lesões bucais. RGO - Rev Gaúcha Odontol, Porto Alegre. 2010; 58 (3): 345-9.
Souza J.G.S., Soares L.A., Moreira G. Concordância entre os diagnósticos clínico e histopatológico de lesões bucais diagnosticadas em Clínica Universitária. Rev Odontol da UNESP. 2014; 43 (1): 30-5.
Patel K.J., De Silva H., Tong D.C., Love R.M. Concordance Between Clinical and Histopathologic Diagnoses of Oral Mucosal Lesions. YJOMS. 2011; 69 (1): 125-33. DOI: https://doi.org/10.1016/j.joms.2010.07.075
Landis J.R., Koch G.G. The measurement of observer agreement for categorical data. Biometrics. 1977; 33 (1): 159-74. DOI: https://doi.org/10.2307/2529310
Souza J.G.S., Soares L.A., Moreira G. Concordância entre os diagnósticos clínico e histopatológico de lesões bucais diagnosticadas em Clínica Universitária. Rev Odontol da UNESP [Internet]. 2014; 43 (1): 30-5. Disponible en: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-25772014000100030&nrm=iso DOI: https://doi.org/10.1590/S1807-25772014000100005
Silva K., Alves A., Correa M., Etges A., Vasconcelos A. Retrospective analysis of jaw biopsies in young adults . A study of 1599 cases in Southern Brazil. Med Oral Patol Oral Cir Bucal. 2017; 22 (6): e702-707. DOI: https://doi.org/10.4317/medoral.21918
Fattahi S., Vosoughhosseini S., Khiavi M.M., Mostafazadeh S., Gheisa A. Consistency Rates of Clinical Diagnosis and Histopathological. J Dent Res Dent Clin Dent Prospect 2014; 8 (2)111-113. 2014; 8 (2): 111-3.
Vaz D.D.E.A., Bandeira R., Lopes D.E.M., Vieira A., Silva C.E. Concordância entre os diagnósticos clínicos e histopatológicos do Laboratório de Patologia Bucal da Faculdade de Odontologia de Pernambuco. RPG Rev Pós Gr. 2011; 18 (4): 236-43.
Sarabadani J., Ghanbariha M., Khajehahmadi S., Nehighalehno M. Consistency Rates of Clinical and Histopathologic Diagnoses of Oral Soft Tissue Exophytic Lesions. Dent Res Dent Clin Dent Prospect Orig. 2009; 3 (3): 86-9.
Palmeira A., Florencio A., Silva Filho J., Silva U., Araújo N. Non neoplastic proliferative lesions:a ten-year retrospective study. RGORevista Gaúcha Odontol. 2013; 61 (4): 543-7.
Cobián O.G., Pérez I.H.S., Urbizo I.I.J. Lesiones blancas de la cavidad bucal . Concordancia Diagnóstica Diagnostic concordance of white lesions of oral cavity. 2014; 13 (5): 690-700.
Abidullah M., Raghunath V., Karpe T., Akifuddin S., Imran S. Clinicopathologic Correlation of White , Non scrapable Oral Mucosal Surface Lesions : A Study of 100 Cases. 2016;10 (2): 38-41. DOI: https://doi.org/10.7860/JCDR/2016/16950.7226
Epstein J.B., Gorsky M., Cabay R.J., Day T., Gonsalves W. Screening for and diagnosis of oral premalignant lesions and oropharyngeal squamous cell carcinoma: Role of primary care physicians. Can Fam Physician. 2008; 54 (6):870-5.
Napier S.S., Speight P.M. Natural history of potentially malignant oral lesions and conditions: An overview of the literature. J Oral Pathol Med. 2008; 37 (1): 1-10. DOI: https://doi.org/10.1111/j.1600-0714.2007.00579.x
Benuto Aguilar R.E., Berumen Campos J. Virus oncogénicos: el paradigma del virus del papiloma humano. Dermatología Rev Mex. 2009; 53 (5): 234-42.
Coimbra F., Nunes I., Pereira-Lopes O., Felino A. Correlação entre diagnóstico clínico e patológico das lesões brancas da cavidade oral. Rev Port Estomatol Med Dent e Cir Maxilofac [Internet]. 2013; 54 (3): 156-60. Disponible en: http://dx.doi.org/10.1016/j.rpemd.2013.04.002 DOI: https://doi.org/10.1016/j.rpemd.2013.04.002
Cruz A., Franzolin S., Pereira A., Beijo L., Hanneman J., Cruz J. Carcinoma de Células Escamosas da Boca : Concordância Diagnóstica em Exames Realizados no Laboratório de Anatomia Patológica da Universidade Federal de Alfenas Squamous Cell Carcinoma of the Mouth : Diagnostic Agreement in Tests Performed in the Laborator. Rev Bras Cancerol. 2012; 58 (4): 655-61. DOI: https://doi.org/10.32635/2176-9745.RBC.2012v58n4.568
Boza Y. V. Oral Carcinoma of Squamous Cells with Early Diagnosis : Case Report and Literature Review. J Dent Sc. 2017;1 (19):43-50. DOI: https://doi.org/10.15517/ijds.v19i1.28074
Hasan S, Ahmed S, Kiran R, Panigrahi R, Thachil J, Saeed S. Oral lichen planus and associated comorbidities: An approach to holistic health. J Fam Med Prim Care. 2019; 8 (11): 3504-17. DOI: https://doi.org/10.4103/jfmpc.jfmpc_749_19
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