scholarly journals Diagnostic Concordance Characteristics of Oral Cavity Lesions

2013 ◽  
Vol 2013 ◽  
pp. 1-7 ◽  
Author(s):  
Ufuk Tatli ◽  
Özgür Erdoğan ◽  
Aysun Uğuz ◽  
Yakup Üstün ◽  
Yaşar Sertdemır ◽  
...  
Keyword(s):  
Oral Cavity ◽  
Clinical Diagnosis ◽  
Malignant Tumors ◽  
Precancerous Lesions ◽  
Oral Pathology ◽  
Odontogenic Tumors ◽  
Odontogenic Cysts ◽  
Histopathologic Diagnosis ◽  
Clinical Diagnoses ◽  
Diagnostic Concordance

Purpose. The objective of this study was to evaluate the diagnostic concordance characteristics of oral cavity lesions by comparing the clinical diagnosis of the lesions with the histopathologic diagnosis.Material and Method. A retrospective analysis was conducted on the patients, who were admitted with oral cavity pathology and underwent biopsy procedure between 2007 and 2011. The oral cavity lesions were classified into 6 different groups as odontogenic cysts, nonodontogenic cysts, odontogenic tumors, nonodontogenic tumors, malignant tumors, and precancerous lesions in accordance with the 2005 WHO classification. The diagnoses were also recategorized into 3 groups expressing prognostic implications as benign, precancerous, and malignant. The initial clinical diagnoses were compared with the histopathologic diagnoses. Data were analyzed statistically.Results. A total of 2718 cases were included. Histopathologic diagnosis did not match the clinical diagnosis in 6.7% of the cases. Nonodontogenic tumors and malignant tumors had the highest misdiagnosis rates (11.5% and 9%, resp.), followed by odontogenic tumors (7.7%), precancerous lesions (6.9%), and odontogenic cysts (4.4%). Clinicians were excelled in diagnosis of benign and precancerous lesions in clinical setting.Conclusion. The detailed discordance characteristics for each specific lesion should be considered during oral pathology practice to provide early detection without delay.

scholarly journals Epidemiological and Clinicopathological Analysis of 92 Odontogenic Tumors: A 5-year Retrospective Study

2017 ◽  
Vol 18 (11) ◽  
pp. 1056-1060 ◽  
Author(s):  
Ipsita Sharma ◽  
Geetanjali Bawa ◽  
Syed Vaseemuddin ◽  
Amit Joseph ◽  
Jimmy K Sangtani
Keyword(s):  
Retrospective Study ◽  
Benign Tumor ◽  
Malignant Tumors ◽  
Oral Pathology ◽  
Odontogenic Tumors ◽  
Odontogenic Myxoma ◽  
Common Benign Tumor ◽  
Clinicopathological Analysis ◽  
Odontogenic Epithelium ◽  
Odontogenic Fibroma

ABSTRACT Introduction Odontogenic tumors (OTs) are a heterogeneous group of lesions that are derived from odontogenic apparatus comprised of odontogenic epithelium, ectomesenchyme, and/or mesenchymal elements. The OTs show marked geographical variation. This study was conducted to analyze the epidemiology and clinicopathological presentation of OTs based on age, sex, and site. Materials and methods This study was conducted in Department of Oral Pathology and Microbiology. Records were reviewed retrospectively for all the lesions of oral cavity from January 2010 to December 2015. A total of 92 lesions were found to be OTs and were classified into benign and malignant tumors. They were further subdivided into three subtypes based on the types of odontogenic tissues involved. These were epithelial OTs (EOTs), mixed OTs (MIXOTs), and mesenchymal OTs (MOTs). Results Of 92 OTs, 84 were benign (males 48, females 36) and 8 were malignant (male 2, females 6). The most common benign tumor was ameloblastoma (AME) (20), followed by keratocystic OT (KCOT) (17), calcifying EOT (CEOT) (14), compound odontome (OD-Cd) (12), complex odontome (OD-Cx) (10), odontogenic fibroma (OF) (5), odontogenic myxoma (OM) (4), and cementoblastoma (CB) (2). The most common malignant tumor was primary intraosseous squamous cell carcinoma (PIOSCC) (3) followed by fibrosarcoma (FS) (3) and ameloblastic carcinoma (AC). Conclusion Author concluded that there was geographic and demographic variation in distribution of OTs, which may be attributed to socioeconomic and genetic factors. Clinical significance Literature showing prevalence of OTs in India is negligible. By this article, we have analyzed the frequency of various OTs according to sex, age, and site. A comprehensive record of OTs should be started so that pathologists and surgeons would be able to acquire the information about the tumor for reference in the future. How to cite this article Sharma I, Venkatesh D, Bawa G, Vaseemuddin S, Joseph A, Sangtani JK. Epidemiological and Clinicopathological Analysis of 92 Odontogenic Tumors: A 5-year Retrospective Study. J Contemp Dent Pract 2017;18(11):1056-1060.

Clinical Diagnosis and SCID-II Assessment of DSM-III-R Personality Disorders

2006 ◽  
Vol 22 (2) ◽  
pp. 104-108 ◽  
Author(s):  
Mats Fridell ◽  
Morton Hesse
Keyword(s):  
Personality Disorder ◽  
Personality Disorders ◽  
Clinical Diagnosis ◽  
Antisocial Personality Disorder ◽  
Substance Abusers ◽  
Semistructured Interview ◽  
Antisocial Personality ◽  
Structured Interviews ◽  
Clinical Diagnoses ◽  
Diagnostic Concordance

Aim: To assess the diagnostic concordance of SCID-II and clinicians' estimation of DSM-III-R personality disorders of substance abusers. Method: Clinical diagnoses of substance abusers in inpatient treatment were compared with SCID-II diagnoses (N = 138). Findings: The overall prevalence of personality disorder was 79% for clinical diagnosis and 80% for SCID-II diagnosis. Substantial agreement was found for borderline personality disorder, and moderate agreement was found for presence of any personality disorder, and antisocial personality disorder. All other disorders had slight to fair agreement. Antisocial personality disorder was overdiagnosed by clinical diagnosis but schizotypal, obsessive-compulsive, passive-aggressive, and masochistic personality disorders were reported more often by SCID-II. Selecting only the primary clinical diagnosis and omitting additional clinical diagnoses, reduced agreement with SCID-II diagnoses. Implications: Clinical diagnosis and structured interviews are not interchangeable, and produce somewhat different profiles of diagnoses for a group of substance abusers, but the two methods for diagnosing personality disorders converge for the two most common personality disorders in substance abusers. Rare and less-known diagnoses tend to be underreported whereas common and well-known disorders tend to be slightly overdiagnosed by clinical diagnosis as compared with a semistructured interview, especially if only one clinical diagnosis is noted.

scholarly journals Cortical Biopsy Results in Alzheimer Disease: Correlation with Cognitive Deficits

1986 ◽  
Vol 13 (S4) ◽  
pp. 406-406 ◽  
Author(s):  
E.M. Martin ◽  
R.S. Wilson ◽  
R.D. Penn ◽  
J.H. Fox ◽  
R.A. Clasen ◽  
...  
Keyword(s):  
Alzheimer Disease ◽  
Disease Severity ◽  
Clinical Diagnosis ◽  
Cognitive Deficits ◽  
Test Scores ◽  
Cognitive Test ◽  
Tissue Samples ◽  
Pathologic Diagnosis ◽  
Histopathologic Diagnosis ◽  
Clinical Diagnoses

Abstract:This paper reports neuropsychologic and pathologic data for eleven patients with a clinical diagnosis of probable Alzheimer disease (AD) according to recently proposed NINCDS criteria. In all cases, the clinical diagnoses were verified by cortical biopsy using histopathologic criteria for definite AD. Similar tissue samples from nine non-demented autopsied patients were also evaluated and none received an histopathologic diagnosis of AD. Correlations between cortical plaque counts and neuropsychologic test scores are also presented. These data have important implications for 1) the accuracy of clinical diagnosis in AD; 2) the validity of NINCDS criteria for the clinical and pathologic diagnosis of AD; and 3) the utility of cognitive test scores as indicators of disease severity.

scholarly journals Odontogenic tumors: analysis of 127 cases

2001 ◽  
Vol 15 (4) ◽  
pp. 308-313 ◽  
Author(s):  
Jean Nunes SANTOS ◽  
Leão PEREIRA PINTO ◽  
Cláudia Roberta Leite Vieira de FIGUEREDO ◽  
Lélia Batista de SOUZA
Keyword(s):  
Malignant Tumors ◽  
Rio Grande ◽  
Oral Pathology ◽  
Histological Diagnosis ◽  
Odontogenic Tumors ◽  
Anatomical Location ◽  
Peak Incidence

One hundred and twenty-seven cases of histologically confirmed odontogenic tumors were retrieved from a total of 5,289 oral and maxillary lesions diagnosed at the Division of Oral Pathology, Federal University of Rio Grande do Norte, during a period of 30 years (l970-l999). The most common histological diagnosis was odontoma (50.40%), followed by ameloblastoma (30.70%). The prevalence of odontogenic tumors was greater in females and the peak incidence occurred in the second and third decades of life. The main anatomical location was the mandible, and no malignant tumors were found.

scholarly journals Primary Oral Malignant Melanoma: Two Case Reports and Review of Literature

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Neeraj Sharma
Keyword(s):  
Malignant Melanoma ◽  
Early Detection ◽  
Oral Cavity ◽  
Tumor Size ◽  
Malignant Tumors ◽  
Case Reports ◽  
Review Of Literature ◽  
Oral Region ◽  
Rare Neoplasm ◽  
Oral Malignant Melanoma

Primary malignant melanoma of the oral cavity is a rare neoplasm. The tumors tend to metastasize or locally invade tissue more readily than other malignant tumors in the oral region. The survival of patients with mucosal melanomas is less than for those with cutaneous melanomas. Tumor size and metastases are related to the prognosis of the disease. Early detection, therefore, is important.

scholarly journals REVIEW OF THE CURRENT STATE OF THE PROBLEM OF PRIMARY DETECTION OF MALIGNANT TUMORS OF THE CAVITY

2019 ◽  
Vol 15 (2) ◽  
pp. 50-55
Author(s):  
Наталья Нуриева ◽  
Natal'ya Nurieva ◽  
Александр Гузь ◽  
Aleksandr Guz ◽  
Александр Захаров ◽  
...  
Keyword(s):  
Oral Cavity ◽  
Head And Neck ◽  
Malignant Tumors ◽  
Malignant Neoplasm ◽  
Diagnostic Procedures ◽  
Primary Diagnosis ◽  
Malignant Neoplasms ◽  
Dental Rehabilitation ◽  
Late Treatment ◽  
Clinically Significant

Subject: malignant neoplasms of the oral cavity, primary detectability, appeal to specialists, terms of treatment before hospitalization. Objective: based on a five-year analysis of the medical records of patients with a verified diagnosis of malignant neoplasm of the oral cavity, to identify significant criteria for primary diagnosis, doctors of the first contact, including non-cancer profile. Methodology. Malignant neoplasms occupy one of the leading places among all medical and social problems. This is due to a number of reasons, among which are particularly high rates of morbidity and mortality, late treatment of patients and frequent disability. the Purpose of early detection of malignant tumors of the oral cavity is to increase the effectiveness and radicality of treatment, increase the possibility of dental rehabilitation, reduction of disability. To write this article, we conducted a five-year analysis of the primary detection of malignant tumors of the oral cavity in 76 patients hospitalized for treatment in the head and neck Department of the Chelyabinsk district Oncology center. All patients with histologically confirmed diagnosis. Everyone needs specialized anti-tumor treatment. In addition to standard diagnostic procedures, all patients were surveyed on the issues of primary complaints and appeals to medical specialists. Results. On the example of the received questionnaires as well as the standard medical examinations conducted upon admission to the head and neck Department, the trends of the primary referral of patients to primary contact doctors, the terms of treatment before referral to a specialized oncological institution, the stage of the process and the presence of metastasis of the primary focus during treatment, the presence of aggravating factors are analyzed. Conclusions. The results for the five-year period in patients with primary malignant neoplasm of the oral cavity were evaluated, practical recommendations on clinically significant symptoms of malignant tumors of the oral cavity, orientation on the timing of observation were given.

scholarly journals Psoriasis Vulgaris: Relationship between Oral and Periodontal Conditions and Disease Severity

2019 ◽  
Vol 13 (1) ◽  
pp. 47-54
Author(s):  
Méndez Gaviria Ligia ◽  
Solis Leira ◽  
Rodríguez Constanza ◽  
Chila-Moreno Lorena ◽  
Buenahora María Rosa ◽  
...  
Keyword(s):  
Oral Cavity ◽  
Periodontal Disease ◽  
Psoriasis Vulgaris ◽  
Anatomical Variation ◽  
Oral Pathology ◽  
Clinical Severity ◽  
Clinical Activity ◽  
Moderate Degree ◽  
Cross Sectional ◽  
Significance Level

Introduction: Psoriasis has been associated with other diseases, or comorbidities, within which the oral cavity is involved. However, there is no consensus regarding the clinical description. The objective of this study was to establish the oral and periodontal status in a group of patients with Psoriasis vulgaris in relation to markers of clinical severity. Materials and Methods: Descriptive, cross-sectional, and observational study. 71 Patients diagnosed with psoriasis at the Hospital Militar Central. The indexes PASI and DLQI to determine their clinical activity were evaluated. We also evaluated serum markers of activity, A direct observation, ganglion palpation, extraoral, intraoral examination, and periodontal clinical index. Chi-squared test for associations was performed, All analyses involved a significance level of 5% and were carried out using the statistical analysis program STATA, version 11.1. Results: Periodontal disease was present in 70% of our patients with a moderate degree of severity in most cases. The presence of P. gingivalis was detected in 23% of patients, 9% of patients with P. gingivalis presented with severe psoriasis (p: 0.189); of these patients, 55% also had periodontal disease (p: 0.189); although this was not statistically significant. Furthermore, 91% of our patients presented with some form of lesion or anatomical variation in the oral cavity; of these, 28% had a single lesion, 63% had multiple lesions and 81.80% of the subjects showed lesions with strong psoriatic association (p = 0.033), including fissured tongue (60.87%; p = 0.034), angular cheilitis (14.49%; p = 0.03) and oral erythematous lesions (13.04%; p = 0.023). Conclusion: We did not detect statistically significant associations between the severity of psoriasis and periodontal disease but our findings related to oral changes could have good relevance for this type of patients. Our data indicate the need for multidisciplinary management between the clinician and specialists in periodontics and oral pathology.

scholarly journals Alternative Therapeutic Approach in the Treatment of Oral Pyogenic Granuloma

2015 ◽  
Vol 8 (3) ◽  
pp. 493-497 ◽  
Author(s):  
Amr Bugshan ◽  
Harsh Patel ◽  
Karen Garber ◽  
Timothy F. Meiller
Keyword(s):  
Oral Cavity ◽  
Malignant Tumors ◽  
Surgical Excision ◽  
Pyogenic Granuloma ◽  
Hormonal Imbalance ◽  
Choice Of Treatment ◽  
Chronic Irritation ◽  
Multiple Recurrences ◽  
And Behavior ◽  
Rule Out

Pyogenic granulomas (PGs) in the oral cavity present as an inflammatory hyperplasia usually caused by trauma, hormonal imbalance, chronic irritation, or as the response to a wide variety of drugs. PGs with atypical presentation and behavior may clinically mimic malignant tumors. Thus, histological examination is required to rule out cancer development. Lesions in the oral cavity have been described to be either an isolated entity or present in multiple forms and with multiple recurrences. Conservative surgical excision is the standard choice of treatment in almost every scenario. However, the severity of the lesions and the affected sites often challenge surgical treatment. In this report, we describe the clinical scenario of a recurrent PG, where surgical excision of the lesion was questioned. As an alternative, we describe a noninvasive approach with lesional steroid injections.

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