[Clinical diagnosis and anatomic-pathologic diagnosis: disagreements].
Many pathologic entities in the clinical practice generate disagreements regarding its identification, not only by its likeness with other lesions but also by its semantics.


BACKGROUND
The goal of this work is to clarify which disagreements are more frequent in the clinical practice, supply new knowledges to facilitate the identification of the larger pathologies controversies and to enlarge its differentials diagnosis.


METHODS
We revised 1825 reports of referring biopsies to the period of 1992 up to 1999, belonging to the Laboratory of Pathological Anatomy of Unoeste, being excluded 439 lauds that did not introduce diagnostic hypothesis, or that had as signals hypothesis and clinical indications or "for clearing". We confronted the clinical hypothesis with the diagnosis Anatomic-pathological, obtaining itself 444 (32.05%) of discordant cases.


RESULTS
Note that the biggest disagreements were between Hansen's disease clinical diagnosis, which in 65.7% cases were chronicles Unspecific Dermatitises, between Sebaceous Cyst, which in 80% cases were cyst of Epidermical Inclusion and Incomplete Abortion, which in 68.2% cases were complete Abortion.


CONCLUSIONS
We conclude that an adequate concepts definition discerning an anamnese and narrow correlation of the clinical characteristics of the lesions promote a minor disagreements number among clinical diagnosis and Anatomic-pathological.
Faculdade de Medicina, Universidade do Oeste Paulista, UNOESTE, Presidente Prudente, SP.
José Roberto
JR
Alves
Milton
M
Hida
Gisele Alborghetti
GA
Nai
D001706:Biopsy / Q000592:standards*; D003560:Cysts / Q000473:pathology; D003872:Dermatitis / Q000473:pathology; D003937:Diagnosis, Differential; D003951:Diagnostic Errors; D005260:Female; D006801:Humans; D007918:Leprosy / Q000473:pathology; D008297:Male