[Clinicopathological correlation in 370 cases of skin minor surgery carried out by family physicians].
OBJECTIVE
To analyse the concordance between presurgical diagnosis and anatomical pathology diagnosis in 370 cutaneous lesions in primary care centres.


METHODS
Descriptive study.Setting. Primary care centres and hospital pathology service, Medina del Campo.


RESULTS
The prior diagnosis was compared with the anatomical pathology for simple agreement. There were 370 lesions. Complete date were obtained for 345 lesions of 298 patients (156 male and 142 female, aged between 6 and 98). Most problems diagnosed were nevocellular nevi (99 cases), fibroepithelial papiloma (72 cases), epidermoid cyst and viral wart (44). There was 63.1% global agreement between the laboratory report and doctor's diagnosis. Concordance and misdiagnosis were described in each type of lesion, mostly in skin cancer.


CONCLUSIONS
Performing minor surgery in primary care is feasible and effective. There is a high concordance between clinical diagnosis and anatomical pathology diagnosis.
Guereña
M J
MJ
Médico Especialista en Medicina Familiar y Comunitaria, Area 5, Hospital La Paz, Madrid, Spain.
Perna
C
C
Gajate
J
J
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D005194:Family Practice; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013511:Minor Surgical Procedures; D011300:Preoperative Care; D012871:Skin Diseases / Q000175:diagnosis* / Q000601:surgery*
Correlación clinicopatológica de 370 casos de cirugía menor dermatológica realizada por médicos de familia.