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[Clinicopathological Correlation in 370 Cases of Skin Minor Surgery Carried out by Family Physicians]

Overview
Journal Aten Primaria
Specialty Public Health
Date 2001 Oct 17
PMID 11602102
Citations 6
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Abstract

Objective: To analyse the concordance between presurgical diagnosis and anatomical pathology diagnosis in 370 cutaneous lesions in primary care centres.

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

Measurements And Main 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.

Citing Articles

[Description of clinical pathological concordance and patient satisfaction in minor surgery in a Primary Care centre].

Ramirez Arriola M, Hamido Mohamed N, Abad Vivas-Perez J, Bretones Alcaraz J, Garcia Torrecillas J, Huber E Aten Primaria. 2016; 49(2):86-92.

PMID: 27353700 PMC: 6875914. DOI: 10.1016/j.aprim.2016.05.002.


[Minor surgery: satisfaction and quality?].

Caurel Sastre Z, Caballero Encinar N Aten Primaria. 2011; 44(1):52.

PMID: 21571402 PMC: 7025139. DOI: 10.1016/j.aprim.2010.11.012.


[Minor surgery in the urban and rural primary care setting].

Matia Cubillo A, Izquierdo F, Zhygalova O, Udaondo Cascante M Aten Primaria. 2009; 41(7):422-3.

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[Cutaneous pseudolymphoma. An example of the relevance of minor surgery in PC].

Solera Suarez M, Beltran Beltran M, Bonet Pla A Aten Primaria. 2004; 33(5):287-8.

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[Pre-malignant and malignant lesions in minor surgery at a health centre. Appearances can't be trusted].

Gonzalez Anguren C, Oses Primo R, Molinero Pinilla R, Parra Oses A, de la Red Arroyo S Aten Primaria. 2003; 32(10):571-6.

PMID: 14697180 PMC: 7681865. DOI: 10.1016/s0212-6567(03)79334-2.


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