AGREEMENT IN CLINICAL AND HISTOPATHOLOGY DIAGNOSIS OF ORAL WHITE LESIONS

Abstract

The aim of the study was to analyze agreement in clinical and histopathology diagnosis of oral white lesions. A cross sectional study was undertaken at the department of Oral and Maxillofacial Surgery at Punjab Dental Hospital, Lahore from November 2016 to May 2017. A total of 85 patients with oral white lesions were diagnosed clinically and further confirmed histopathologically. Clinical and histopathological diagnoses were compared. Standard deviation as well as mean were analysed for quantitative variables, whereas frequency and percentages were analysed for qualitative variables. Among 85 patients 45 (52.9%) were males and 40 (47.1%) were females with an average age of 36.2116.40 years. Buccal mucosa was involved in major part of cases (51.8%) next to lip (16.5%), tongue (15.3%), alveolus (9.4%), floor of the mouth (4.7%) and palate (2.4%). According to the agreement in diagnosis 85.5% patients have agreement and 14.1% have no agreement. The difference between clinical diagnosis with histopathological diagnosis was significant (<p 0.05) and agreement rate was 85.88% between the diagnosis. The results of this study confirmed that oral white lesions are capable of showing highly variable histopathological features and therefore biopsy followed by histopathological examination of all oral white lesions must be done in order to confirm the diagnosis.