Potentially malignant epithelial oral lesions: Discrepancies between clinical and histological diagnosis

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dc.contributor.authorOnofre, Mirian Aparecida [UNESP]
dc.contributor.authorSposto, M. R.
dc.contributor.authorNavarro, Cláudia Maria [UNESP]
dc.contributor.authorMotta, M. E S F M
dc.contributor.authorTuratti, E.
dc.contributor.authorAlmeida, R. T.
dc.contributor.institutionSchool of Dentistry of Araraquara
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.date.accessioned2014-05-27T11:18:15Z
dc.date.available2014-05-27T11:18:15Z
dc.date.issued1997-09-01
dc.description.abstractOBJECTIVE: To evaluate the discrepancy index between the clinical and histological diagnosis and the prevalence of epithelial dysplasia and carcinoma in 45 patients with potentially malignant epithelial oral lesions (PMEL). PATIENTS AND METHODS: We submitted 45 patients with PMEL to clinical examination and obtained a biopsy from each. The results of histological diagnosis were compared to the clinical diagnosis. RESULTS: Clinical diagnosis showed that the most common PMEL was leukoplakia followed by lichen planus and by actinic cheilitis associated with leukoplakia. The most common site was the buccal mucosa. Histological diagnosis revealed that 46.7% of the PMEL were lichen planus. The discrepancy index between clinical and histological diagnosis was 24.4%. The higher discrepancy index occurred among leukoplakias. The prevalence of epithelial dysplasia and carcinoma was 17.8%. CONCLUSIONS: We conclude that all PMEL should be submitted to a microscopic analysis because the discrepancy between clinical and histological diagnosis was present in a quarter of these lesions. Otherwise, the epithelial dysplasia and carcinoma were more frequent in the leukoplakias.en
dc.description.affiliationOral Medicine Service Department of Diagnosis and Surgery School of Dentistry of Araraquara, 14801-903 Araraquara, SP
dc.description.affiliationDepartment of Diagnosis and Surgery School of Dentistry of Araraquara UNESP, Rua Humaitá, 1680, 14801-903 Araraquara, SP
dc.description.affiliationUnespDepartment of Diagnosis and Surgery School of Dentistry of Araraquara UNESP, Rua Humaitá, 1680, 14801-903 Araraquara, SP
dc.format.extent148-152
dc.identifierhttp://dx.doi.org/10.1111/j.1601-0825.1997.tb00026.x
dc.identifier.citationOral Diseases, v. 3, n. 3, p. 148-152, 1997.
dc.identifier.doi10.1111/j.1601-0825.1997.tb00026.x
dc.identifier.issn1354-523X
dc.identifier.lattes0944020161060502
dc.identifier.lattes7650237459252010
dc.identifier.orcid0000-0002-3185-2826
dc.identifier.scopus2-s2.0-0030851719
dc.identifier.urihttp://hdl.handle.net/11449/65169
dc.language.isoeng
dc.relation.ispartofOral Diseases
dc.relation.ispartofjcr2.310
dc.rights.accessRightsAcesso restrito
dc.sourceScopus
dc.subjectDiagnostic errors
dc.subjectDiscrepancy index
dc.subjectLeukoplakia
dc.subjectLichen planus
dc.subjectOral diagnosis
dc.subjectadolescent
dc.subjectadult
dc.subjectaged
dc.subjectclinical article
dc.subjectcontrolled study
dc.subjectdiagnostic error
dc.subjectdisease course
dc.subjectfemale
dc.subjecthistopathology
dc.subjecthuman
dc.subjectleukoplakia
dc.subjectlichen planus
dc.subjectmale
dc.subjectprecancer
dc.subjectpriority journal
dc.subjectAdolescent
dc.subjectAdult
dc.subjectAged
dc.subjectAged, 80 and over
dc.subjectBrazil
dc.subjectCarcinoma, Squamous Cell
dc.subjectCheilitis
dc.subjectDiagnosis, Differential
dc.subjectFemale
dc.subjectHumans
dc.subjectLeukoplakia, Oral
dc.subjectLichen Planus, Oral
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectMouth Diseases
dc.subjectMouth Mucosa
dc.subjectMouth Neoplasms
dc.subjectPrecancerous Conditions
dc.subjectPredictive Value of Tests
dc.subjectReproducibility of Results
dc.titlePotentially malignant epithelial oral lesions: Discrepancies between clinical and histological diagnosisen
dc.typeArtigo
dcterms.licensehttp://olabout.wiley.com/WileyCDA/Section/id-406071.html
unesp.author.lattes0944020161060502
unesp.author.lattes7650237459252010[3]
unesp.author.orcid0000-0002-3185-2826[3]
unesp.campusUniversidade Estadual Paulista (Unesp), Faculdade de Odontologia, Araraquarapt

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