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RGO.Revista Gaúcha de Odontologia (Online)

  ISSN 1981-8637

AQUINO, Sibele Nascimento de et al. Agreement between clinical and histopathological diagnoses of oral lesions. RGO, Rev. gaúch. odontol. (Online) []. 2010, 58, 3, pp. 345-349. ISSN 1981-8637.

OBJECTIVE: The objective of this study was to measure the agreement between the clinical and histopathological diagnoses of oral lesions in patients seen at the Stomatological Clinic of the State University of Montes Claros, Minas Gerais, Brazil. METHODS: A retrospective study was done from March 2006 to December 2007 with 200 medical records of patients that had undergone biopsy and treatment between 2004 and 2006. The assessed parameters were: gender, age, clinical diagnosis, biopsies, lesion site and histopathological diagnosis. Statistical analysis was done by the software SPSS 15.0 and submitted to descriptive statistics. RESULTS: The most common lesion sites were the buccal mucosa (16.0%) and gingiva (16.0%) while the most uncommon was the base of the vestibule (3.5%). The most common group of lesions was represented by the non-neoplastic proliferative processes (39.0%). Agreement occurred between the three first clinical hypotheses and histopathology. In 78% of the final diagnoses, there was agreement between one of the three clinical hypotheses and the microscopic diagnosis and no agreement between the clinical and histopathological diagnoses in 21.5% of the cases. CONCLUSION: The agreement between clinical and histopathological diagnoses was high (78.5%). More studies are necessary in order to better understand the relationship between these two important routine tests.

: biopsy; diagnosis clinical; oral pathology.

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