[ comparative study on the clinical diagnosis and pathology report of patients undergone biopsy at department of oral medicine of Mashhad dental school from 2002 until 2004]

ABSTRACT

The purpose of this study was to evaluate the concordance between clinical diagnosis and pathology report of patients referring to department of oral medicine of Mashhad dental school. In this descriptive retrospective study, personal information and disease [or lesion] characteristics of 170 patients who had been referred to the department of oral medicine for biopsy during the past 2 years, were collected through questionnaires and were analyzed Chi-square and Fisher exat statistical tests. The diagrams were drawn with use of Microsoft office SPSS software. 81.2% of the clinical diagnosis were consistent with pathology reports. In 18.8%, the clinical diagnosis was not confirmed histopathologically. The greatest concordance was observed for lichen planus, inflammatory hyperplasia and leukoplakia whereas pemphigus, SCC and systemic lupus erythematosus revealed the lowest concordance. Although a great concordance was observed between clinical diagnosis and pathology report, the inconcordance was significant and establishing strategies for minimizing it, is necessitated