Diagnostic Concordance Characteristics of Oral Cavity Lesions
Purpose. The objective of this study was to evaluate the diagnostic concordance characteristics of oral cavity lesions by comparing the clinical diagnosis of the lesions with the histopathologic diagnosis. Material and Method. A retrospective analysis was conducted on the patients, who were admitted...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | The Scientific World Journal |
| Online Access: | http://dx.doi.org/10.1155/2013/785929 |
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| author | Ufuk Tatli Özgür Erdoğan Aysun Uğuz Yakup Üstün Yaşar Sertdemır İbrahim Damlar |
| author_facet | Ufuk Tatli Özgür Erdoğan Aysun Uğuz Yakup Üstün Yaşar Sertdemır İbrahim Damlar |
| author_sort | Ufuk Tatli |
| collection | DOAJ |
| description | Purpose. The objective of this study was to evaluate the diagnostic concordance characteristics of oral cavity lesions by comparing the clinical diagnosis of the lesions with the histopathologic diagnosis. Material and Method. A retrospective analysis was conducted on the patients, who were admitted with oral cavity pathology and underwent biopsy procedure between 2007 and 2011. The oral cavity lesions were classified into 6 different groups as odontogenic cysts, nonodontogenic cysts, odontogenic tumors, nonodontogenic tumors, malignant tumors, and precancerous lesions in accordance with the 2005 WHO classification. The diagnoses were also recategorized into 3 groups expressing prognostic implications as benign, precancerous, and malignant. The initial clinical diagnoses were compared with the histopathologic diagnoses. Data were analyzed statistically. Results. A total of 2718 cases were included. Histopathologic diagnosis did not match the clinical diagnosis in 6.7% of the cases. Nonodontogenic tumors and malignant tumors had the highest misdiagnosis rates (11.5% and 9%, resp.), followed by odontogenic tumors (7.7%), precancerous lesions (6.9%), and odontogenic cysts (4.4%). Clinicians were excelled in diagnosis of benign and precancerous lesions in clinical setting. Conclusion. The detailed discordance characteristics for each specific lesion should be considered during oral pathology practice to provide early detection without delay. |
| format | Article |
| id | doaj-art-98f39d2b8f4a40a49ed70b4567356152 |
| institution | Kabale University |
| issn | 1537-744X |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Scientific World Journal |
| spelling | doaj-art-98f39d2b8f4a40a49ed70b45673561522025-02-03T01:09:28ZengWileyThe Scientific World Journal1537-744X2013-01-01201310.1155/2013/785929785929Diagnostic Concordance Characteristics of Oral Cavity LesionsUfuk Tatli0Özgür Erdoğan1Aysun Uğuz2Yakup Üstün3Yaşar Sertdemır4İbrahim Damlar5Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Çukurova University, Saricam-Balcali, 01330 Adana, TurkeyDepartment of Oral and Maxillofacial Surgery, Faculty of Dentistry, Çukurova University, Saricam-Balcali, 01330 Adana, TurkeyDepartment of Pathology, Faculty of Medicine, Çukurova University, 01330 Adana, TurkeyPrivate Practice in Oral and Maxillofacial Surgery, 01120 Adana, TurkeyDepartment of Biostatistics, Faculty of Medicine, Çukurova University, 01330 Adana, TurkeyDepartment of Oral and Maxillofacial Surgery, Faculty of Dentistry, Mustafa Kemal University, 31100 Hatay, TurkeyPurpose. The objective of this study was to evaluate the diagnostic concordance characteristics of oral cavity lesions by comparing the clinical diagnosis of the lesions with the histopathologic diagnosis. Material and Method. A retrospective analysis was conducted on the patients, who were admitted with oral cavity pathology and underwent biopsy procedure between 2007 and 2011. The oral cavity lesions were classified into 6 different groups as odontogenic cysts, nonodontogenic cysts, odontogenic tumors, nonodontogenic tumors, malignant tumors, and precancerous lesions in accordance with the 2005 WHO classification. The diagnoses were also recategorized into 3 groups expressing prognostic implications as benign, precancerous, and malignant. The initial clinical diagnoses were compared with the histopathologic diagnoses. Data were analyzed statistically. Results. A total of 2718 cases were included. Histopathologic diagnosis did not match the clinical diagnosis in 6.7% of the cases. Nonodontogenic tumors and malignant tumors had the highest misdiagnosis rates (11.5% and 9%, resp.), followed by odontogenic tumors (7.7%), precancerous lesions (6.9%), and odontogenic cysts (4.4%). Clinicians were excelled in diagnosis of benign and precancerous lesions in clinical setting. Conclusion. The detailed discordance characteristics for each specific lesion should be considered during oral pathology practice to provide early detection without delay.http://dx.doi.org/10.1155/2013/785929 |
| spellingShingle | Ufuk Tatli Özgür Erdoğan Aysun Uğuz Yakup Üstün Yaşar Sertdemır İbrahim Damlar Diagnostic Concordance Characteristics of Oral Cavity Lesions The Scientific World Journal |
| title | Diagnostic Concordance Characteristics of Oral Cavity Lesions |
| title_full | Diagnostic Concordance Characteristics of Oral Cavity Lesions |
| title_fullStr | Diagnostic Concordance Characteristics of Oral Cavity Lesions |
| title_full_unstemmed | Diagnostic Concordance Characteristics of Oral Cavity Lesions |
| title_short | Diagnostic Concordance Characteristics of Oral Cavity Lesions |
| title_sort | diagnostic concordance characteristics of oral cavity lesions |
| url | http://dx.doi.org/10.1155/2013/785929 |
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