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将组织病理学结果误判为不必要手术的重要风险因素——一名孕妇“险些发生”事件的病例报告

Misinterpretation of histopathological results as an important risk factor for unneeded surgery - case report of a "near miss" event in a pregnant woman.

作者信息

Løes Sigbjørn, Tornes Knut

机构信息

Department of Oral and Maxillofacial Surgery, Haukeland University Hospital, Jonas Lies vei 65, N-5021 Bergen, Norway.

出版信息

Patient Saf Surg. 2008 Jun 5;2:14. doi: 10.1186/1754-9493-2-14.

Abstract

The oral cavity may exhibit a vast number of pathologic conditions, often dealt with by different medical disciplines. Combined with a substantial variation in clinical appearance, an accurate diagnosis may provide difficult to establish in selected cases. Histopathological investigations are therefore mandatory for correct diagnosis and adequate treatment. We describe a common, truly benign condition in the oral cavity, which due to histopathological misinterpretation was planned for major surgery and subsequent chemotherapy. This was avoided by spontaneous regression of the lesion. The case illustrates that uncritical trust in laboratory diagnostic tests may lead to severe mistreatment.

摘要

口腔可能出现大量病理状况,通常由不同医学学科进行处理。再加上临床表现存在很大差异,在某些病例中可能难以做出准确诊断。因此,组织病理学检查对于正确诊断和恰当治疗是必不可少的。我们描述了一种口腔中常见的真正良性病症,由于组织病理学解读错误,原本计划进行大手术及后续化疗。而该病变的自发消退避免了这种情况。这个病例表明,盲目信赖实验室诊断检查可能导致严重的治疗不当。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c0e/2429902/19447b88ae2a/1754-9493-2-14-1.jpg

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