Salik Rasool, Farhat Bashir, Sara Gardezi.
Biopsy Audit At Government University Oral Health Facility.
J Pak Dent Assoc Jan ;22(2):84-8.

OBJECTIVE: The present study signifies the pattern of Oral mucosal lesions at Oral Pathology Department of Dr.Ishrat-ul-Ebad Khan Institute of Oral Health Sciences, Dow University of Health Sciences, Karachi. METHODOLOGY: Study is designed as retrospective cross sectional. Two hundred and fifty six case biopsies were selected from patientsattending the out patient department of the dental college. Biopsied oral lesions at (DIKIOHS) were from July 2007- to-December 2011. RESULTS: Out of a total of 256 lesions 111 were benign and 145 malignant. Oral squamous cell carcinoma was the most prevalent pathology amongst 121 cases. The other lesions were 38 pyogenic granulomas, 25 salivary gland lesions, 23 connective tissue lesions of which 11 were hemangiomas, 10 were non specific inflammations and 1 lymphangioma. Seventeen were diagnosed as epithelial dysplasias, 3 each as osteomyelitis, tuberculosis, candidiasis, while one case each of plasmacytoma, and actinomycosis. Bone pathology were 2 ossifying fibromas, and 1 fibrous dysplasia. Cystic lesions comprised of 1 radicular cyst, epidermoid cyst each, verrucous neoplasm, ameloblastoma, and adenomatoid odontogenic tumor. Buccal mucosa showed 52% positivity for all lesions, amongst (33%) male and (19%) female positives respectively. Salivary gland and alveolus had 10% site predilection each, while palate had 9.4%, gingiva 8.2%, tongue 7.4%, floor of the mouth 1% each. CONCLUSION: It is concluded that connective tissue disorders were more prevalent in younger age group, whereas the most common pathology reported was oral squamous cell carcinoma, reported in adolescence and elderly presented most frequently on the buccal mucosa.

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