Retrospective Study of the Concordance Between Clinical and Histopathological Diagnosis in Oral Pathology
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Abstract
Objetivos: Evaluar la concordancia entre el diagnóstico clínico e histopatológico de lesiones bucales en pacientes sometidos a biopsias. Identificar las lesiones bucales más frecuentes y su correlación con la edad, el sexo y la ubicación anatómica. Métodos: estudio retrospectivo de 368 exámenes patológicos recogidos entre 2008 y 2018, correspondientes a biopsias realizadas en la Clínica Universitária Egas Moniz . Se realizó un análisis detallado de los informes histopatológicos adjuntos a los archivos de los pacientes y se evaluaron las variables sexo, edad, localización anatómica, diagnóstico clínico y diagnóstico histopatológico. Resultados: El género más afectado fue el femenino (55%);el grupo de edad más común fue el de 61 a 70 años; La localización anatómica más biopsiada fue la encía (23,9%); las cinco entidades patológicas más frecuentes fueron fibroma (26,4%), quiste radicular (8,7%), licor plano oral (7,6%), hemangioma (6,3%) y leucoplasia oral (6,0%) . De acuerdo, el 74,5% de los casos fueron concordantes y el 25,5% discordantes. Las lesiones más concordantes fueron Quiste Radicular (90,6%), Traumatismo (87,5%), Hemangioma (82,6%), Fibroma (82,5%) y Mucocele (82,5%). Conclusión: este estudio demuestra un nivel significativo de concordancia entre el diagnóstico clínico e histopatológico en esta área en particular, obtenido de manera consistente en un período de diez años.
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