KBB-Forum 2020 , Cilt 19, Sayı 1

CORRELATION OF PRELIMINARY AND HISTOPATHOLOGIC DIAGNOSIS OF HEAD AND NECK LESIONS

Funda KEMERİZ 1, MD; Serkan KAYABAŞI 2, MD; Ömer HIZLI 3, MD; Serkan ÇAYIR 2, MD; Nazan EMİROĞLU 4, MD; Melike ORDU 5, MD;
1Aksaray University, Faculty of Medicine, Dermatology Department, Aksaray, Turkey
2Aksaray University, Faculty of Medicine, ENT Department, Aksaray, Turkey
3Giresun University, Prof Dr A. İlhan Özdemir Education and Research Hospital, ENT Department, Giresun, Turkey
4Bezmialem Vakıf University, Faculty of Medicine, Pathology Department, İstanbul, Turkey
5Aksaray University, Faculty of Medicine, Dermatology Department, Aksaray, Turkey Objective: This study aimed at investigating the correlation between preliminary diagnosis and pathological diagnosis of head and neck lesions after dermoscopic examination and excisional biopsy.

Methods: We included 89 patients with head and neck lesions admitted to dermatology outpatient clinic. The correlation between preliminary diagnoses and pathology results of head and neck lesions were evaluated.

Results: Lesions in 22 of 89 patients (24.7%) were melanocytic and 67 of 89 patients (75.3%) were nonmelanocytic. The number of preliminary diagnosis of all patients was no more than three. The clinicopathological correlation rate was 78.65% (70 patients) for the first preliminary diagnosis, 34.83% (31 patients) for the second preliminary diagnosis and 7.86% (7 patients) for the third preliminary diagnosis. Initial preliminary diagnosis and pathological diagnosis were found different in 13 cases. In 3 cases, nodular lesions were excised considering skin malignancy clinically and dermoscopically, but the histopathological results were reported as benign lesions.

Conclusion: We think that the cooperation of clinicians and pathologists can increase the exact pathological diagnosis rate and clinicopathological correlation. Keywords : Dermatopathology, Clinicopathological correlation, Head and neck lesions