A clinicopathologic correlation study of 2396 histopathologic skin biopsy specimens
DOI:
https://doi.org/10.4314/rejhs.v11i1.3Keywords:
Histopathology, Dermatopathology, clinicopathologic correlation, Skin biopsy, Skin DiseasesAbstract
Background: Clinicopathologic correlation of skin biopsies is relevant in a dermatology patient's management. The study aimed to conduct a clinicopathologic corellation of skin samples.
Methods: Retrospective cross-sectional analysis of 2,396 skin biopsy specimens submitted between January 2015 and December 2021. Clinicopathologic correlation was done on only samples which had definitive clinical and histopathologic diagnosis. Data was analyzed with the R studio.
Results: A total number of 2,396 skin biopsies were received from 2319 patients. Clinicopathologic correlation was conducted on 1,831 samples which had both definitive clinical and histopathological diagnoses. A definitive clinicopathologic correlation was obtained in 66.8%(1224/1831) and this was 64.8% for benign tumours, 60.4% for malignant tumours, 66.7% for inflammatory diseases, 70.8% for infections, 85.5% for scalp and hair disorders and 50% for dermal deposits.
Conclusion: Clinicopathologic correlation of skin biopsies is high. Correlation is better with
inflammatory diseases compared to neoplastic diseases.
References
Richard M-A, Corgibet F, Beylot-Barry M, Barbaud A, Bodemer C, Chaussade V et al. Sexand Age-adjusted Prevalence Estimates of Five Chronic Inflammatory Skin Diseases in France: Results of the « OBJECTIFS PEAU » Study J. E u r . A c a d . D e r m a t o l . Ve n e r e o l .2018;32:1967–1971.
Akinkugbe AO, Amira OC, Ozoh OB, Fasanmade O, Bandele E. Patterns of Skin Disorders in a Rural Community in Lagos State, Nigeria. The Nig. Health J. 2016;16: 103-116
Lim HW, Collins B, Resneck JS, Bolognia JL, Hodge JA, Rohrer TA et al. The burden of skin disease in the United States. J Am Acad Dermatol 2017;76:958-972
George VP, Sowmya S, Krishnan S. A. Histopathological Study of Skin Biopsy Specimens in a Tertiary Care Hospital with a Keynote on Clinicopathological Correlation. Annals of Pathology and Laboratory Medicine. 2020;7:39-45
P u r i N , M a h a j a n B B , K a u r S . Clinicohistopathological Correlation of Psoriasis in Acute Exacerbation. Scientific reports. 2012;1:455-461
Bi s h t M, Ar y a A, Ch o u d h r y BC. Histomorphological analysis and clinical correlation of neoplastic and non-neoplastic skin lesions: a study in a tertiary care centre of Western Uttar Pradesh, India. Int J Res Med Sci. 2020;8:2820-2827
Dowerah S, Naiding M. Clinicopathological correlation of benign skin lesions in a limited resource setting. Journal of Science. 2017;7:41-43.
Altraide DD, Otike-Odibi B, Usman O. Correlation of Clinico Pathologic Diagnosis of Skin Diseases in a Tertiary Health Centre in South- South Nigeria. Asian Journal of Research in Dermatological Science.2020;3:22-28
Gupta P, Karuna V, Grover K, Rathi M, Verma N. The histopathological spectrum of skin diseases with emphasis on clinicopathological correlation: A prospective study. Journal of Diagnostic Pathology and Oncology. 2018;3:91-95
Venugopal R, Shankar P, Pathania V. Clinicopathological correlation in the diagnosis of skin diseases: A retrospective study. Med J DY Patil Vidyapeeth 2020;13:648-52.
Umarji S, Ravikumar G, Antony M, Tirumalae R. Comparison of clinical diagnosis with histopathology in inflammatory skin diseases: a retrospective study of 455 cases. Egypt J Dermatol Venereol 2018;38:37–41
Al-Saif FM, Binsufayan SA, Alhussain AH, Alshaikh HM, Aldosari MS, Binsufayan SA et al. Clinicopathological concordance in the diagnosis of skin diseases: a retrospective analysis of 5000 histopathology reports. Ann Saudi Med. 2019;39:388-394.
Tsang MW, Kovarik CL. Global access to dermatopathology services: physician survey of availability and needs in sub-Saharan Africa. J Am Acad Dermatol. 2010;63:346-8.
Beltraminelli H, Kiprono S, Zuriel D, Swai B, Giabbani E, Grossmann H, Masenga JE. Dermatopathology in sub-Saharan Africa: a systematic 5-year analysis of all histopathological diagnoses from the Regional Dermatology Training Centre (RDTC) in Moshi, Tanzania. J Eur Acad Dermatol Venereol. 2015;29:1370-1375.
Adeyi OA. Pathology services in developing countries: the West African experience. Arch Pathol Lab Med 2011; 135: 183–186.
Tsang MW, Kovarik CL. The role of dermatopathology in conjunction with teledermatology in resource-limited settings: lessons from the African Teledermatology Project. Int J Dermatol. 2011;50:150-156
Benediktsson H, Whitelaw J, Roy I. Pathology services in developing countries: a challenge. Arch Pathol Lab Med 2007; 131: 1636–1639.
Ukonu BA, Ibekwe PU, Abimiku BA. C l i n i c o p a t h o l o g i c a l C o r r e l a t e o f Papulosquamous Skin Disorder in a Tertiary Health Care. Journal of Advances in Medicine and Medical Research. 2020;32:54-65
Korfitis C, Gregoriou S, Antoniou C, Katsambas AD, Rigopoulos D. Skin Biopsy in the Context of Dermatological Diagnosis: A Retrospective Cohort Study Dermatology Research and Practice. 2014; Article ID 734906:5 pages
Goyal N, Jain P, Malik R, Koshti A. Spectrum of No n Ne o p l a s t i c S k i n Di s e a s e s : A Histopathology Based Clinicopathological Correlation Study. Sch. J. App. Med. Sci., 2015;3:444-449.
Phillips TG, Slomiany P, Allison R. Hair Loss: Common Causes and Treatment. American Family Physician. 2017;96: 372-378.
Gordon KA, Tosti A. Alopecia: Evaluation and Treatment. Clin. Cosm. Investig. Dermatol. 2011;4:101-106.
Asuquo ME, Ebughe G. Cutaneous cancers in Calabar, Southern Nigeria. Dermatol Online J. 2009;15:11.
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