CONSISTENCY RATES OF CLINICAL AND RADIOLOGICAL DIAGNOSIS WITH HISTOPATHOLOGICAL REPORTS OF INTRAOSSEOUS LESIONS IN MAXILLOFACIAL REGION IN PATIENTS OF IMAM KHOMEINI HOSPITAL, 2010-2016

A correct diagnosis is the most important step in the treatment of oral lesions.
Each lesion has specific clinical and radioghraphy features that help the clinician to reach the correct
diagnosis. The aim of this study was to evaluate the consistency rate of the clinical and radiological
diagnoses with histopathological reports of intraosseous lesions in the maxillofacial region in patients
who referred to Imam Khomeini hospital.
Materials & Methods: Individual data and records of all patients whose biopsy specimen was submitted
to the departments of oral pathology, Imam Khomeini hospital of Urmia from 2010 to 2016 were
evaluated. The data were analyzed by SPSS software version 20 and Kruskal-Wallis test.
Results: Of the 100 cases studied, there were 49% men and 51% women. In 16% of the cases, the
diagnosis did not confirm to the histopathologic diagnosis in the radiological method, while in the first
50% of cases the first diagnosis was consistent with the histopathologic diagnosis. And 47.3% of the
first clinical diagnoses, 22.97% of the second clinical diagnoses and 6.76% of the third clinical diagnoses
were confirmed by the pathologic reports while in 22.97% of the cases, none of the clinical diagnoses
were consistent with the pathological diagnoses. Also, 22.5% of the first radiological diagnoses, 22.9%
of the second radiological diagnoses and 5% of the third radiological diagnoses were confirmed with
the histopathological diagnosis while in 16% of the cases, none of the clinical diagnoses were consistent
with the pathological diagnoses. Wilcoxon test showed that the radiological diagnosis confirmed with
the pathological diagnosis more than the clinical diagnosis.
Conclusion: Since there must be an overlap of clinical pathological and radiological diagnoses, there
must be effective cooperation among surgeons, radiologists, and pathologists.