Concordance Rate Between Clinical Impression and Pathologic Diagnosis in Dermatologic Skin Biopsy.
- Author:
Yong Hee NAM
1
;
Young Jun SEO
;
Jeung Hoon LEE
;
Jang Kyu PARK
;
Jin Man KIM
;
Hee Jung KIM
Author Information
1. Department of Dermatology, College of Medicine, Chungnam University, Korea. jhoon@cnu.ac.kr
- Publication Type:Original Article
- Keywords:
Concordance;
Clinical impression;
Pathologic diagnosis
- MeSH:
Biopsy*;
Chungcheongnam-do;
Communicable Diseases;
Dermatology;
Diagnosis*;
Humans;
Outpatients;
Skin Diseases;
Skin*
- From:Korean Journal of Dermatology
2004;42(9):1100-1105
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: Skin Biopsy is a equently used diagnostic tool in dermatology and clinical impressions before biopsy may be different with pathologic diagnosis. OBJECTIVES: The purpose of this study was to investigate the concordance rate of clinical impression and pathologic diagnosis. METHODS: Clinical and Pathological studies were done on 559 biopsied skin diseases among 16, 944 out-patients in Dermatologic department of Chungnam University Hospital during the period of 1 year from March, 2002 to February, 2003. RESULTS AND CONCLUSION: The study results are summarized as follows: 1. The most frequently biopsied skin disease group was non-tumor, noninfectious disease (40.8%), followed by benign tumor (37.4%), infectious disease (11.8%), malignant tumor (10.0%). 2. The concordance rate between clinical impression and pathologic diagnosis showed 68.9% in complete agreement and 79.6% in complete and partial agreement. 3. The concordance rate of professor committed cases was 68.8% and that of residents committed cases was 69.1%. 4. The concordance rates among disease groups were highest in malignant tumor (74.6%), then benign tumor (70.8%), non-tumor infectious disease (67.4%) and non-tumor noninfectious disease (65.2%).
