•  
  •  
 

Abstract

BACKGROUND: Skin biopsy is often considered as confirmatory in case of diagnostic dilemma and is the most common investigation sought by a dermatologist. Hence, a high diagnostic accuracy of this investigation is pursued. OBJECTIVE: The study was planned to determine the consistency between the provisional clinical diagnosis of skin diseases and the final diagnosis after clinicopathological correlation. MATERIALS AND METHODS: The study was carried out from the 1st of April 2017 to the 1st of April 2018 at dermatology center Medical City Teaching Hospital. During this period, a total of 440 biopsies were performed, and 110 biopsies were reviewed at the clinicopatholgical meeting every Sunday. Interesting and difficult cases were presented at the meeting and discussed to reach a final diagnosis. A comparison was made between the provisional clinical diagnosis and the final diagnosis, and between the histopathological report and the final diagnosis. RESULTS: This study included 110 patients; of them, 65 patients were males (60%) and 45 patients (40%) were females with the mean of age was 41.6±18.6 yrs. The most frequent conditions were tumors in 51 cases (46.36 %), pupulosquamous diseases 20 cases (18.18 %), infections 11 cases (10 %), connective tissue diseases 7 cases(6.36 %), vescicobullous 7 cases (6.36 %), & miscellaneous diseases 14 cases (12.72 %). Concerning tumors, 35 cases (68.63%) were malignant, and 16 cases (31.37%) were benign. Of these tumours the most frequent tumour was mycosis fungoides; 9 cases (17.6%), followed by squamous cell carcinoma; 5 cases (9.8%). Regarding the consistency between provisional clinical diagnosis and the final diagnosis, the current study showed that 21 cases (19%) were consistent, 60 cases (55%) were corroborative, and 29 (26%) of the cases were inconsistent. This study showed that there was a consistency between provisional clinical diagnoses and histopathological report in 19 biopsies (17%), 75 biopsies (68%) were corroborative, and 16 biopsies (15%) were inconsistent.Concerning the consistency between histopathological report and final diagnosis, 68 biopsies (62%) were consistent, while 42 biopsies (38 %) were inconsistent. CONCLUSION: Clinicopathological

Download

Share

COinS