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Pattern of Oral and Maxillofacial Biopsy Results in a Teaching Hospital; An 11-year Retrospective Study

Abstract

Background

Biopsy remains a cornerstone in diagnostic pathology, enabling definitive diagnosis, guiding treatment planning, and informing tumor classification. This study evaluated the distribution of histopathologically diagnosed lesions in the oral and maxillofacial region over an 11-year period.

Methods

 A retrospective review was conducted at the Department of Oral and Maxillofacial Surgery, Oral Pathology, and Molecular Biology, Lagos University Teaching Hospital, Nigeria. Biopsy records from January 2013 to December 2023 were analyzed. Ethical approval was obtained from the Health Research and Ethics Committee (HREC Approval No. ADM/DSCST/HREC/APP/5714).

Results

 A total of 756 biopsies were reviewed. Females accounted for 52.2% of cases. The highest frequency of tumors occurred in the fourth decade of life (20.8%). Odontogenic tumors were the most prevalent lesion group, with ameloblastoma being the most common histologic diagnosis, predominantly involving the mandible.

Conclusion

A broad spectrum of lesions affects the maxillofacial region. Biopsy remains indispensable for definitive diagnosis. Knowledge of lesion distribution patterns is vital for clinical decision-making among oral surgeons and pathologists.

 

Keywords (MeSH)

Biopsy, benign, malignant, odontogenic tumour, carcinoma

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Author Biographies

Ebrorhie Ochuko — Babcock University Teaching Hospital

Consultant/Lecturer, Oral and Maxillofacial Surgeon

Department of Oral and Maxillofacial Surgery

Adeyemi O. Michael — Lagos University Teaching Hospital

Consultant/Lecturer, Oral and Maxillofacial Surgeon

Department of Oral and Maxillofacial Surgery

Abdullahi A.S. Mohammed — University of Maiduguri Teaching Hospital

Consultant/Lecturer, Oral and Maxillofacial Surgeon.

Department of Oral and Maxillofacial Surgery

Ngalato F. Haningh — Lagos University Teaching Hospital

Senior Registrar, Oral and maxillofacial Surgery

Department of Oral and Maxillofacial Surgery

Okwor G. Chiamaka — University of Leicester

Masters student, University of Leicester

Adedire O. Adetomiwa — Faculty of Dental Sciences and Oral Health Sciences, McGill, Montreal, QC, Canada

Master's student, 

Ajayi F. Oluseyi — Lagos University Teaching Hospital

Professor/Lecturer, Oral Pathologist and Molecular Biology

Department of Oral Pathology and Molecular Pathology

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