Concordancia diagnóstica clínico-histopatológica en los tumores de glándulas salivales mayores
Concordancia diagnóstica clínico-histopatológica en los tumores de glándulas salivales mayores
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Objetivo: estimar el grado de concordancia diagnóstica entre los aspectos clínicos y los hallazgos histopatológicos en pacientes con tumores de glándulas salivales mayores.
Metodología: se realizó un estudio descriptivo en el Hospital Universitario del Caribe, Cartagena, Colombia, 2006 - 2010. Los datos se obtuvieron por medio de la revisión de historias clínicas de 64 pacientes. Los datos fueron almacenados y analizados por medio del programa estadístico EPI – INFO versión 3.5.1. Se realizó la comparación de proporciones para variables cualitativas y comparación de medias o medianas según criterios de normalidad para las cuantitativas, se estimaron los parámetros de validez diagnóstica de algunos signos clínicos sugestivos de malignidad.
Resultados: el sexo femenino fue el más frecuentemente afectado con 64,1% de los casos. La localización más frecuente fue la glándula parótida. Los signos clínicos sugestivos de malignidad que mostraron mayor validez fueron el compromiso de piel, de pares craneales, la no movilidad de la masa, el dolor y la presencia de adenopatías cervicales. La validez del criterio clínico del otorrinolaringólogo fue del 92%.
Conclusión: el examen físico y el criterio clínico del especialista son la base para una adecuada orientación diagnóstica y de tratamiento, sin embargo en ausencia de los signos clínicos sugestivos de malignidad, esta no puede ser descartada. Rev.cienc. biomed. 2011; 2 (2): 241-248
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