Author/Authors :
Seifi، Safoura نويسنده Department of Oral and Maxillofacial Pathology, Cellular and Molecular Research Center, School of Dentistry, Babol University of Medical Sciences, Bab , , Hoseini ، Seyed Reza نويسنده Department of Social Medicine, faculty of Dentistry, Babol University of Medical Sciences, Babol, Iran , , Bijani ، Ali نويسنده Non-Communicable Pediatric Diseases Research Center, Babol University of Medical Sciences, Babol, Iran ,
Abstract :
Background: The clinical and pathological evaluation of oral lesions are very important in this field. The purpose of this study was to assess clinico- pathological agreement on 232 cases with oral lesion s.
Methods: The consecutive files of 232 patients with oral lesions from pathological laboratory archives of Babol Dental faculty and Shahid Beheshti Hospital were reviewed and the data include age, sex and location of lesion, surgeonʹs specialization, clinical and histopathological diagnosis were recorded. Frequency of oral lesions and rate of correct clinical diagnoses were evaluated in site of lesions and surgeonʹs specialization.
Results: Non neoplastic lesions were more common than neoplastic lesions. Soft tissue reactive lesions were the most common oral lesions. The Correct clinical diagnosis in soft tissue and intra-osseous oral lesions was 66.2% and 66.6% respectively. Clinico- pathological agreement cases were seen in oral and maxillofacial surgeons (68.5%), oral medicine specialists (64.27%) and periodontists (61.9%). From 165 selected oral lesions, the histopathological and clinical diagnoses were in agreement in 110 cases (66.6%) .The highest percentage of correct clinical diagnosis was found in mucocele (92.3%) (KS= 0.916, SE=0.59) and the lowest was lymphoproliferative lesions 27.3% (KS= 0.378, SE= 0.16).While in all other groups 36-86% of cases were in agreement.
Conclusion: The results of this study show that there is a good agreement between the clinical and pathological diagnosis of oral lesions. The most clinicopathological agreement was seen in mucocele and the lowest was lymphoproliferative disorders.