Keshwar Shashi, Jain Neetu, Raut Toniya, Singh Vimmi, Shrestha Ashish
Department of Oral Pathology College of Dental Surgery B.P. Koirala Institute of Health Sciences, Dharan, Nepal.
Department of Conservative Dentistry College of Dental Surgery B.P. Koirala Institute of Health Sciences, Dharan, Nepal.
Int J Dent. 2024 Oct 3;2024:2528353. doi: 10.1155/2024/2528353. eCollection 2024.
Histopathological diagnosis remains the gold standard tool for the diagnosis, yet accurate and detailed clinical descriptions are necessary to facilitate the final diagnosis. Histopathologists believe that clinicians are unaware of how histopathology departments operate, partly because of the less information on requisition forms. The objective of the present study is to assess the concordance of clinical and histological diagnoses of all oral and maxillofacial biopsy samples, along with the completion of the requisition form provided with the biopsy sample. A retrospective study was conducted at the Department of Oral Pathology. The biopsy request forms of year 2018-2019 were retrieved from the archive of the department and were analyzed for clinicopathological concordance. Descriptive and analytical statistics were performed using SPSS. Of 338 forms, 243 (71.89%) forms had total concordance between clinical and histopathologic diagnosis; 20 forms (5.92%) had concordance with the histopathological diagnosis, but only after the clinical diagnosis had been refined. Of all the forms analyzed, 36 (10.65%) forms lack habit history in cases suspected of oral cancer and oral potentially malignant disorder, and 24 (7.10%) cases lack radiographic details. The categories of clinicohistopathological concordance and the different clinical information groups showed a statistically significant relationship. We also found that the sign-out time for histopathological reports depend on the extent of clinical information provided which was statistically significant too. The current study concluded a sufficient level of concordance between clinical and histopathological diagnosis. A high completion rate of biopsy forms indicated that the clinicians/operating surgeons perceive the significance of clinical information in histopathological diagnosis. We also recommend, irrespective of the type of suspected oral lesions, submitted for biopsy, a detailed clinical information is the backbone for accurate and timely reporting of the histopathological diagnosis.
组织病理学诊断仍然是诊断的金标准工具，但准确而详细的临床描述对于最终诊断很有必要。组织病理学家认为临床医生并不了解组织病理学科室的运作方式，部分原因是送检单上的信息较少。本研究的目的是评估所有口腔颌面活检样本的临床诊断与组织学诊断的一致性，以及随活检样本提供的送检单的填写情况。在口腔病理学系进行了一项回顾性研究。从该科室的档案中检索出2018 - 2019年的活检申请表，并对其进行临床病理一致性分析。使用SPSS进行描述性和分析性统计。在338份申请表中，243份（71.89%）的临床诊断与组织病理学诊断完全一致；20份（5.92%）与组织病理学诊断一致，但仅在临床诊断细化之后。在所有分析的申请表中，36份（10.65%）疑似口腔癌和口腔潜在恶性疾病的病例缺乏习惯史，24份（7.10%）病例缺乏影像学细节。临床组织病理学一致性类别与不同的临床信息组之间存在统计学上的显著关系。我们还发现组织病理学报告的签出时间取决于所提供临床信息的详细程度，这在统计学上也具有显著意义。本研究得出临床诊断与组织病理学诊断之间具有足够的一致性水平。活检申请表的高填写率表明临床医生/手术医生认识到临床信息在组织病理学诊断中的重要性。我们还建议，无论提交活检的疑似口腔病变类型如何，详细的临床信息都是准确及时报告组织病理学诊断的关键。
