Concordance between clinical and histopathological diagnoses of oral lichen planus
In this study, we investigated the degree of concordance in the histopathological diagnosis among lesions clinically diagnosed with oral lichen planus (OLP) to understand the importance of the histopathological examination. In total, 169 patients clinically diagnosed with OLP on their initial visit...
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| Published in | Journal of Oral and Maxillofacial Surgery, Medicine, and Pathology Vol. 28; no. 5; pp. 381 - 384 |
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| Main Authors | , , , , , , |
| Format | Journal Article |
| Language | English Japanese |
| Published |
Elsevier Ltd
01.09.2016
Elsevier BV |
| Subjects | |
| Online Access | Get full text |
| ISSN | 2212-5558 2212-5566 |
| DOI | 10.1016/j.ajoms.2016.04.001 |
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| Abstract | In this study, we investigated the degree of concordance in the histopathological diagnosis among lesions clinically diagnosed with oral lichen planus (OLP) to understand the importance of the histopathological examination.
In total, 169 patients clinically diagnosed with OLP on their initial visit to our hospital between 2001 and 2012 were experienced. Of them, histopathological examinations were carried out for 77 patients (83 lesions), and they were selected as the subjects of this study. The age, gender, location of the lesion, clinical type of OLP determined via visual inspection, and histopathological findings were investigated.
Of the 77 patients, 12 were male and 65 were female, with a mean age of 63.9 years. Histopathological examinations were performed in 83 lesions, of which 54 were diagnosed as OLP. Among the diagnostically discordant 29 lesions, most were histopathologically diagnosed as leukoplakia (15 lesions, 51.7%), whereas one was diagnosed as squamous cell carcinoma (3.4%). The most frequent location of discordant lesions was the tongue (discordant rate: 77.8%), and the most clinical type was plaque (discordant rate: 90.0%); all of which were atypical types of OLP.
The rate of discordance between the clinical and histopathological diagnoses was 34.9%. These results indicate that histopathological examinations are essential for obtaining the differential diagnosis to distinguish the lesion from other diseases with a clinical presentation similar to that of OLP. |
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| AbstractList | In this study, we investigated the degree of concordance in the histopathological diagnosis among lesions clinically diagnosed with oral lichen planus (OLP) to understand the importance of the histopathological examination.
In total, 169 patients clinically diagnosed with OLP on their initial visit to our hospital between 2001 and 2012 were experienced. Of them, histopathological examinations were carried out for 77 patients (83 lesions), and they were selected as the subjects of this study. The age, gender, location of the lesion, clinical type of OLP determined via visual inspection, and histopathological findings were investigated.
Of the 77 patients, 12 were male and 65 were female, with a mean age of 63.9 years. Histopathological examinations were performed in 83 lesions, of which 54 were diagnosed as OLP. Among the diagnostically discordant 29 lesions, most were histopathologically diagnosed as leukoplakia (15 lesions, 51.7%), whereas one was diagnosed as squamous cell carcinoma (3.4%). The most frequent location of discordant lesions was the tongue (discordant rate: 77.8%), and the most clinical type was plaque (discordant rate: 90.0%); all of which were atypical types of OLP.
The rate of discordance between the clinical and histopathological diagnoses was 34.9%. These results indicate that histopathological examinations are essential for obtaining the differential diagnosis to distinguish the lesion from other diseases with a clinical presentation similar to that of OLP. |
| Author | Matsumoto, Kousuke Asai, Tomoko Komori, Takahide Enomoto, Yui Suzuki, Hiroaki Takeuchi, Junichiro Kimoto, Akira |
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| Cites_doi | 10.6014/jjomm1995.9.17 10.1111/j.1600-0714.1993.tb00046.x 10.1016/j.joms.2013.04.026 10.6014/jjomm1995.2.42 10.14219/jada.2013.10 10.1111/j.1834-7819.2002.tb00540.x 10.1016/0030-4220(78)90383-3 10.1111/j.1600-0714.2008.00662.x 10.1034/j.1600-0714.2003.00125.x 10.1016/j.bjoms.2007.07.199 10.1177/154411130201300405 10.1016/S1348-8643(13)00030-X 10.2334/josnusd.49.89 10.1111/j.1600-0714.2010.00946.x 10.1016/0030-4220(68)90194-1 10.6014/jjomm.17.39 10.6014/jjomm.15.22 |
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| Keywords | Oral lichen planus Clinical diagnosis Concordance Histopathological diagnosis |
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| Title | Concordance between clinical and histopathological diagnoses of oral lichen planus |
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