口腔面病变的临床和组织病理学诊断之间的协议:一个多中心研究
Caroline Augusta Belo Faria1, Weslay Rodrigues da Silva1, Jonathan França da Silva Cavalcanti1
1University of Pernambuco, Recife, Pernambuco, Brazil.
Oral surgery, oral medicine, oral pathology and oral radiology
|February 7, 2026
概括
对于口腔关面病理病例的临床诊断和组织病理诊断之间的一致性为67.8%. 建议加强培训和补充检查,以提高诊断准确度,特别是在具有低一致率的病变方面.
科学领域:
- 口腔和面病理学 口腔和面病理学
- 诊断的准确性 诊断的准确性
- 医学教育 医学教育
背景情况:
- 临床和组织病理学诊断对于口腔和面病理学至关重要.
- 评估这些诊断之间的一致性对于质量评估至关重要.
研究的目的:
- 评估巴西四所大学口腔和面病理学服务中临床和组织病理学诊断之间的一致性.
- 确定影响诊断协议的因素,包括使用补充性放射性检查.
主要方法:
- 一项多中心的回顾性研究分析了11年来20005例口腔和面病理病例.
- 该研究评估了临床诊断和组织病理诊断之间的一致性 (卡帕统计).
- 此外,还分析了作为补充诊断程序的要求放射性检查的数据.
主要成果:
- 总体协议率为67.8% (卡帕=0.23),表明协议很弱.
- 对于潜在的恶性,上皮,皮肤-免疫学和唾液腺病变 (Kappa > 0.85) 观察到非常好的协议.
- 对于骨损伤,发育缺陷和牙瘤 (卡帕<0.15) 发现了较弱的一致性. 在25.9%的病例中要求进行放射性检查,囊性病变的比例更高.
结论:
- 在口腔和大面部病理学中的临床病理学诊断协议在不同类型的病变中是可变的.
- 加强培训和增加对补充诊断工具的使用是必要的,以提高诊断准确度,特别是对于协议率较低的条件.
相关概念视频
Diagnosing Acidosis and Alkalosis
1.3K
Diagnosing acid-base imbalances involves systematically analyzing arterial blood samples, focusing on three key measurements: pH, bicarbonate (HCO3−) concentration, and carbon dioxide partial pressure (PCO2). This analysis follows a four-step process that helps identify the imbalance's underlying cause and nature.
First, the pH level is assessed to determine whether the blood pH is normal (7.35–7.45), low (acidosis), or high (alkalosis).
Next, the PCO2 and...
First, the pH level is assessed to determine whether the blood pH is normal (7.35–7.45), low (acidosis), or high (alkalosis).
Next, the PCO2 and...
1.3K
Aneurysm II: Clinical Manifestations and Diagnostic Studies
371
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
371
Oral Cavity
3.2K
The oral cavity, or the mouth, is a complex structure in humans that plays a vital role in our day-to-day lives. Its role is not only in chewing and swallowing food; it also plays a role in speech and facial expressions.
Teeth: The teeth are the hardest structures in our bodies. Humans have two sets of teeth throughout their lifetime: deciduous (baby) teeth and permanent teeth. Each tooth consists of several parts: the crown (visible part), the root (embedded in the jaw), enamel (hard outer...
Teeth: The teeth are the hardest structures in our bodies. Humans have two sets of teeth throughout their lifetime: deciduous (baby) teeth and permanent teeth. Each tooth consists of several parts: the crown (visible part), the root (embedded in the jaw), enamel (hard outer...
3.2K
Hypertension III: Clinical Manifestations and Diagnostic Studies
585
Hypertension is asymptomatic and also referred to as the "silent killer" until it progresses to a severe stage or causes target organ disease. Patients may experience symptoms stemming from the strain on blood vessels and tissues in various organs or the heart's increased workload.Physical exams might show no abnormalities other than high blood pressure. Signs of vascular damage, when present, correspond to the organs supplied by the affected vessels, leading to target organ damage. For...
585
Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
349
The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
349
Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies
635
The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
635


