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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.

DOI:10.3390/dermatopathology8020013
PMID:33915710
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8167714/
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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本文引用的文献

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Intra-observer and inter-observer variability in two grading systems for oral epithelial dysplasia: A multi-centre study in India.两种口腔上皮异型增生分级系统的观察者内和观察者间变异性:印度的一项多中心研究。
J Oral Pathol Med. 2020 Oct;49(9):948-955. doi: 10.1111/jop.13056. Epub 2020 Jul 9.
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Oral lichen planus and oral lichenoid lesions - an analysis of clinical and histopathological features.口腔扁平苔藓和口腔苔藓样病变——临床与组织病理学特征分析
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The possible premalignant character of oral lichen planus and oral lichenoid lesions: a prospective five-year follow-up study of 192 patients.口腔扁平苔藓和口腔苔藓样病变的潜在癌前特征:192例患者的前瞻性五年随访研究
Oral Oncol. 2007 Sep;43(8):742-8. doi: 10.1016/j.oraloncology.2006.09.006. Epub 2006 Nov 16.
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Why oral histopathology suffers inter-observer variability on grading oral epithelial dysplasia: an attempt to understand the sources of variation.为何口腔组织病理学在口腔上皮发育异常分级方面存在观察者间差异:对变异来源的探究。
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