We are using cookies to implement functions like login, shopping cart or language selection for this website. Furthermore we use Google Analytics to create anonymized statistical reports of the usage which creates Cookies too. You will find more information in our privacy policy.
OK, I agree I do not want Google Analytics-Cookies
Quintessence International
Login:
username:

password:

Plattform:

Forgotten password?

Registration

Quintessence Int 45 (2014), No. 9     20. Aug. 2014
Quintessence Int 45 (2014), No. 9  (20.08.2014)

Page 789-794, doi:10.3290/j.qi.a32440, PubMed:25126648


A comparison between histologic and clinical diagnoses of oral lesions
Bacci, Christian / Donolato, Luca / Stellini, Edoardo / Berengo, Mario / Valente, Marialuisa
Objective: The dentist has a fundamental role in the early diagnosis of lesions of the oral cavity. The aim of this study was to establish the rate of erroneous clinical diagnoses and whether a clinical diagnosis is enough. The study was conducted to ascertain the overall accuracy of clinical diagnoses established by dentists.
Study design: The biopsy reports of 1,566 samples taken from 1,406 patients and examined at the Dental Outpatients Department of the University of Padua from 1 January 2006 to 30 June 2012 were analyzed in order to compare the presumptive clinical diagnosis with the final diagnosis based on histology.
Results: Overall, the dentists' clinical diagnoses were erroneous in 31.5% of cases. These diagnostic errors pertained to 23.8% of the benign neoplasms, 78.9% of the malignant neoplasms, and 17% of precancerous lesions.
Conclusion: The present report should not be interpreted as a criticism of the clinicians making diagnostic errors but rather a confirmation of the policy to submit excised tissues for histologic examination.

Keywords: clinical misdiagnosis, leukoplakia, oral cancer, oral examination, oral pathology, precancerous condition