Comparison of computer-assisted brush biopsy results with follow up scalpel biopsy and histology.
Oral brush biopsy results were compared with scalpel biopsy and histology to determine the positive predictive value of an abnormal brush biopsy finding. Of 243 patients with abnormal brush biopsies, 93 proved positive for dysplasia (79) or carcinoma (14) and 150 were negative for either dysplasia or carcinoma. Therefore, the positive predictive value of an abnormal brush biopsy was 38% (93/243). By using the oral brush biopsy, dentists can inform their patients that abnormal findings have a strong positive predictive value for dysplasia or carcinoma and therefore require follow-up confirmation by scalpel biopsy.
Svirsky
John A
JA
Medical College of Virginia School of Dentistry, Richmond, USA.
Burns
James C
JC
Carpenter
William M
WM
Cohen
Donald M
DM
Bhattacharyya
Indraneel
I
Fantasia
John E
JE
Lederman
David A
DA
Lynch
Denis P
DP
Sciubba
James J
JJ
Zunt
Susan L
SL
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001706:Biopsy / Q000295:instrumentation* / Q000379:methods; D002277:Carcinoma / Q000473:pathology; D003936:Diagnosis, Computer-Assisted; D003949:Diagnostic Techniques, Surgical; D004867:Equipment Design; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006965:Hyperplasia; D007972:Leukoplakia, Oral / Q000473:pathology; D017676:Lichen Planus, Oral / Q000473:pathology; D008297:Male; D008875:Middle Aged; D009061:Mouth Mucosa / Q000473:pathology*; D009062:Mouth Neoplasms / Q000473:pathology*; D011237:Predictive Value of Tests; D013280:Stomatitis / Q000473:pathology