Abstract
Background: Accurate diagnosis of orofacial tumours is important as this determines the treatment options as well as the eventual treatment outcome. Agreement between clinical and histopathological diagnosis becomes important in this regard. Aims: The aim was to determine the level of agreement between clinical and histopathology diagnosis of orofacial lesions. Method: This is a retrospective study of all histopathology reports seen at KATH maxillofacial unit. Thedata collected included, clinical diagnosis and histological diagnosis. Results: A total of 567 histopathology reports were evaluated. The percentage of agreement between clinical and histopathological diagnosis was 62.8%. Conclusion: The agreement between clinical and histopathological diagnosis was high. However clinicians cannot rely on only the clinical diagnosis in managing patients.
Highlights
The maxillofacial region is a common anatomic site for the development of infections, cysts and tumours of odontogenic or non-odontogenic origin
This is a retrospective study of all histopathology reports seen at KATH maxillofacial unit
In another study at KATH, Donkor [4] looked at a total of 50 patients who presented with squamous cell carcinoma; majority had advanced lesions which according to him accounted for the poor treatment outcome
Summary
The maxillofacial region is a common anatomic site for the development of infections, cysts and tumours of odontogenic or non-odontogenic origin. The major factor in the lack of improvement in prognosis over the years is the fact that cases of oral carcinoma are not diagnosed or managed until they are advanced. This diagnostic delay may be caused either by patients (who may not report unusual oral features) or by health care workers (who may not investigate observed lesions thoroughly). In another study at KATH, Donkor [4] looked at a total of 50 patients who presented with squamous cell carcinoma; majority had advanced lesions which according to him accounted for the poor treatment outcome. Clinicians cannot rely on only the clinical diagnosis in managing patients
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