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2014, Number 5

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Revista Habanera de Ciencias Médicas 2014; 13 (5)

Diagnostic concordance of white lesions of oral cavity

Guerra CO, Sarracent PH, Urbizo VJ

Language: Spanish
References: 21
Page: 690-700
PDF size: 130.49 Kb.


ABSTRACT

Introduction: the buccal lesions are a strong indicator of the state of the individual's health, and inside these the white lesions are subject to be misdiagnosed due to their similarity and varied presentation form.
Objective: to determine the concordance between the clinical and histopathological diagnosis of buccal white lesions, as well as to characterize these lesions socialdemographically and to distribute them topographically.
Material and Methods: a cross sectional descriptive retrospective study was conducted in a sample of 52 patients of the total of patients with buccal white lesions to be biopsied in the Department of Surgery of Dentistry College "Raúl González Sánchez" in the period January 2013 to December 2013. The Sociodemographic and diagnostics data were obtained from the Biopsy request model and histopathological report .The information was subjected to kappa index to evaluate the concordance between clinical and histopathological diagnosis.
Results: patients with ages between 40-49 were more affected (28,85%).White lesions prevailed in female( 61,54%) and white race people (59,62%).34,33% was located in the cheek mucous. 50% was clinically diagnosed like leukoplakia and confirmed histologically in 42.31%. The concordance was very good in the diagnosis of leukoplakia (k=0,84) and lichen planus (K=0,83). The total concordance of the group was good (k=0,79).
Conclusions: the total concordance of the studied sample was good, although the diagnostic concordance to leukoplakia and lichen planus were very good.


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