Objective
Colposcopy is a direct microscopic method and is the gold standard tool to detect
early cervical dysplastic lesions. In the past, many attempts have been made to use
gynecologic methods to examine the oral mucosa. The aim of this study was to detect
the diagnostic accuracy of oral colposcopy in diagnosing oral dysplastic lesions in
comparison with microscopic evaluation based on biopsy and compare Reid's Colposcopic
Index (RCI) and the Swede scoring system in diagnosing oral dysplastic lesions.
Study Design
Twenty-five patients who presented for diagnosis of oral leukoplakia to the Oral Medicine
and Periodontology Department, Faculty of Dentistry, Cairo University (Cairo, Egypt)
and met the selection criteria were recruited in this study. Each patient was subjected
to colposcopic examination, followed by biopsy to confirm the results of colposcopy.
The sensitivity and specificity of oral colposcopy were calculated after colposcopic
assessment by using the Swede scoring system and the RCI.
Results
The diagnostic accuracy of oral colposcopy with use of the Swede scoring system was
superior to that of oral colposcopy with the use of the RCI.
Conclusions
Colposcopic examination using the Swede scoring system is very specific for diagnosing
oral epithelial dysplasia and for using the “see-and-treat” method, whereas the RCI
is a very sensitive screening method for the diagnosis of oral epithelial dysplasia
in oral potentially malignant disorders.
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Article info
Publication history
Published online: September 24, 2020
Accepted:
August 16,
2020
Received in revised form:
July 8,
2020
Received:
March 3,
2020
Identification
Copyright
© 2020 Elsevier Inc. All rights reserved.
