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口腔苔藓样疾病中上皮发育异常评估的观察者间和观察者内差异

Inter-Observer and Intra-Observer Variations in the Assessment of Epithelial Dysplasia in Oral Lichenoid Diseases.

作者信息

Zohdy Marwa, Cazzaniga Simone, Nievergelt Helga, Blum Roland, Suter Valérie G A, Feldmeyer Laurence, Beltraminelli Helmut

机构信息

Department of Dermatology, Inselspital Bern University Hospital, University of Bern, CH-3010 Bern, Switzerland.

Department of Dermatology, Andrology and STDs, Mansoura University Hospitals, Mansoura University, Mansoura 35516, Egypt.

出版信息

Dermatopathology (Basel). 2021 Apr 1;8(2):84-88. doi: 10.3390/dermatopathology8020013.

Abstract

Oral lichen planus (OLP) and oral lichenoid lesions (OLL) can both present with histological dysplasia. Despite the presence of WHO-defined criteria for the evaluation of epithelial dysplasia, its assessment is frequently subjective (inter-observer variability). The lack of reproducibility in the evaluation of dysplasia is even more complex in the presence of a lichenoid inflammation. We evaluated dysplasia in 112 oral biopsies with lichenoid inflammation in order to study the inter-observer and the intra-observer variability.

摘要

口腔扁平苔藓(OLP)和口腔苔藓样病变(OLL)均可出现组织学发育异常。尽管存在世界卫生组织定义的上皮发育异常评估标准,但其评估往往具有主观性(观察者间差异)。在存在苔藓样炎症的情况下,发育异常评估缺乏可重复性的问题更为复杂。我们对112例伴有苔藓样炎症的口腔活检组织中的发育异常进行了评估,以研究观察者间和观察者内的差异。

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