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Revista da Associação Médica Brasileira
Print version ISSN 0104-4230
ALVES, José Roberto; HIDA, Milton and NAI, Gisele Alborghetti. Clinical diagnosis and anatomic-pathologic diagnosis: disagreements. Rev. Assoc. Med. Bras. [online]. 2004, vol.50, n.2, pp. 178-181. ISSN 0104-4230. http://dx.doi.org/10.1590/S0104-42302004000200035.
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. CONCLUSION: 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.
Keywords : Disagreements; Controversies; Diagnosis, clinical; Anatomic-pathologic.