头颈部病理学中的二次诊断报告：转诊模式及其对最终诊断的影响。

Second opinion reporting in head and neck pathology: the pattern of referrals and impact on final diagnosis.

作者信息

Mullin M H, Brierley D J, Speight P M

机构信息

Oral Medicine and Pathology, Unit of Oral and Maxillofacial Pathology, The School of Clinical Dentistry, Sheffield, UK.

Specialist Registrar, Unit of Oral and Maxillofacial Pathology, The School of Clinical Dentistry, Sheffield, UK.

出版信息

Oral Surg Oral Med Oral Pathol Oral Radiol. 2015 Jun;119(6):656-60. doi: 10.1016/j.oooo.2014.12.020. Epub 2015 Jan 6.

DOI:10.1016/j.oooo.2014.12.020

PMID:25956218

Abstract

OBJECTIVE

There is a need for second opinion histopathology referrals, especially for patients with head and neck pathology. The objective of this study was to determine the pattern and potential impact of referrals to a specialist oral and maxillofacial pathologist.

STUDY DESIGN

Retrospective analysis of 566 consecutive referrals with demographic and clinical information was performed. The original diagnosis and the specialists' second opinion diagnosis were compared to assess for discrepancies and potential effect on patient management.

RESULTS

Seventy-five percent of cases were referred by general pathologists. Salivary gland (30%) and odontogenic tumors (12%) were the most commonly referred categories. Of the referred cases, 58 (9%) resulted in a significant change in diagnosis, impacting patient management. In 24 cases (4%) the diagnosis was revised from benign to malignant, and in 22 (4%) from malignant to benign.

CONCLUSION

This study highlights the need for referrals to oral and maxillofacial pathologists. A second opinion may assist in accurate diagnosis and patient management.

摘要