title: Correlation Between Clinical Diagnosis and Pathological Diagnosis in Laryngeal Lesions.
abstract: OBJECTIVE
  To evaluate the degree of agreement between the clinical and the pathological diagnosis in patients undergoing laryngeal microsurgery due to epithelial or edematous lesions of the vocal folds.
  
  
  METHODS
  This is a retrospective study.
  
  
  METHODS
  The study was developed in the ear, nose, and throat clinic of a tertiary hospital, through chart review. We included all patients who underwent microsurgery of the larynx, whose videolaryngoscopic tests showed vocal fold lesions, from January 2003 to August 2014. During the study period, we identified 48 patients with epithelial and edematous lesions. The patients were divided into two groups. In group A, patients with edematous lesions with clinical diagnosis of polyps and Reinke edema were included. Group B comprised patients with epithelial lesions, as leukoplakic injuries. A correlation between histopathological findings and clinical hypothesis between these two groups of lesions was performed.
  
  
  RESULTS
  In group B, there was agreement in 88.9% of cases between the clinical and pathological diagnosis. In group A, compatibility occurred in only 46.4% of cases. We observed a statistically significant difference between the compatibility of the clinical and pathological diagnosis just in edematous lesions (P = 0.029).
  
  
  CONCLUSIONS
  The study showed the limitation of the pathological examination on edematous laryngeal lesions. On the other hand, on the epithelial lesions, there was more agreement between those diagnosis.
authors.affiliation: Departamento de Clínica Cirúrgica, Hospital das Clínicas, Universidade Federal de Goiás, Goiânia, Goiás, Brazil. Electronic address: marychediak07@yahoo.com.br.
authors.forename: Maryana do Nascimento
authors.initials: Mdo N
authors.lastname: Chediak Coelho
authors.affiliation: Departamento de Clínica Cirúrgica, Hospital das Clínicas, Universidade Federal de Goiás, Goiânia, Goiás, Brazil.
authors.forename: Valeriana de Castro
authors.initials: Vde C
authors.lastname: Guimarães
authors.affiliation: Departamento de Clínica Cirúrgica, Hospital das Clínicas, Universidade Federal de Goiás, Goiânia, Goiás, Brazil.
authors.forename: Stela Oliveira
authors.initials: SO
authors.lastname: Rodrigues
authors.affiliation: Departamento de Clínica Cirúrgica, Hospital das Clínicas, Universidade Federal de Goiás, Goiânia, Goiás, Brazil.
authors.forename: Claudiney Candido
authors.initials: CC
authors.lastname: Costa
authors.affiliation: Departamento de Clínica Cirúrgica, Hospital das Clínicas, Universidade Federal de Goiás, Goiânia, Goiás, Brazil.
authors.forename: Hugo Valter Lisboa
authors.initials: HV
authors.lastname: Ramos
mesh_terms: D000328:Adult; D000368:Aged; D001706:Biopsy; D005260:Female; D006801:Humans; D007819:Laryngeal Edema / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D007820:Laryngeal Mucosa / Q000473:pathology* / Q000601:surgery; D007828:Laryngoscopy / Q000379:methods*; D007971:Leukoplakia / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D008297:Male; D008866:Microsurgery; D008875:Middle Aged; D011237:Predictive Value of Tests; D015203:Reproducibility of Results; D012189:Retrospective Studies; D062606:Tertiary Care Centers; D014741:Video Recording; D014827:Vocal Cords / Q000473:pathology* / Q000601:surgery; D055815:Young Adult
keywords: Dysplasia; Larynx; Otorhinolaryngologist; Pathologist; Reinke edema