Lazzarotto B, Garcia C, Martinelli-Klay C, Lombardi T. Biopsy of the oral mucosa: Does size matter?
JOURNAL OF STOMATOLOGY, ORAL AND MAXILLOFACIAL SURGERY 2022;
123:e385-e389. [PMID:
35176511 DOI:
10.1016/j.jormas.2022.02.005]
[Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/13/2022] [Accepted: 02/13/2022] [Indexed: 06/14/2023]
Abstract
AIM
To analyze the relation between biopsy specimen's size and the definitive diagnosis. In addition, other variables including oral mucosa region, type of disease and general versus specialist practitioner were also assessed.
METHODS
Data from specimens submitted to histopathological examination between 2007 and 2017 were retrospectively analysed.
RESULTS
We analysed data on 792 patients. Out of 1089 archived reports, 81 (7.4%) had no definitive diagnosis. Multivariate analysis rendered biopsy length as the factor influencing the possibility to reach a definitive diagnosis.
CONCLUSION
The size of the specimen is an important parameter to achieve a correct histopathological diagnosis of the oral lesions investigated. According to our results, it seems that a 10 mm length is adequate to optimize the biopsy outcome. No statistically differences were observed between GPDs and oral surgery specialists, probably because biopsies were performed by experienced general practitioners, although not formally trained.
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