Accurate Evaluation of Palpable Breast Masses by the Triple Test Score

Morris, Arden M.; Pommier, Rodney F.; Schmidt, Waldemar A.; Shih, Richard L.; Alexander, Priscilla W.; Vetto, John T.

doi:10.1001/archsurg.133.9.930

Cited by 47 publications

(49 citation statements)

References 9 publications

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“…In the present study 125 patients age ranging from 10 years to 67 years with a median age of 24 years for the benign group and 45.4 ± 9.6 years in the patients with malignant lesion. This finding is similar to some other studies; 49 years 10 and 46 years. 4 Time interval since the patient noted the lump to the time of presentation for consultation reflects the awareness and 'access to health' of the population.…”

Section: Discussionsupporting

confidence: 93%

Profile of Breast Diseases in Eastern Nepal

Bajracharya¹,

Pangeni²

2016

J Coll Med Sci-Nepal

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INTRODUCTIONWomen presenting with breast complaints, like breast pain, nipple discharge, cystic lesions, especially lump are a common finding and a cause of significant anxiety in view of extensive public awareness.1 Breast problems, benign and malignant, are common in occurrence worldwide, though nation wise breast cancer is the second most common malignancy among women in Nepal. 2,3,4 A lump in the breast is experienced by the patient with the phobia of cancer. The disease poses a threat to the woman's sense of bodily integrity and her conceptions of body image and sexuality. Knowledge regarding risk factors in the development of breast cancer helps in developing targeted risk reduction strategies. 5 The prevalence

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Section: Discussionsupporting

confidence: 93%

Profile of Breast Diseases in Eastern Nepal

Bajracharya¹,

Pangeni²

2016

J Coll Med Sci-Nepal

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“…On the other hand, MG is not useful in women under the age of 40 due to the more dense breast pattern and these patients should be evaluated with ultrasonography. PE may be repeated at 2-4 month intervals if the mass cannot be identified with ultrasonography (US) (4). In addition, MG may be useful for women between the ages 35-40 if US reveals normal or suspicious findings.…”

Section: Effectiveness Of the Triple Test And Its Alternatives For Brmentioning

confidence: 99%

Effectiveness of the Triple Test and Its Alternatives for Breast Mass Evaluation

Baykara¹,

Özkan²,

Gül³

et al. 2013

J Breasth Health

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Objective: The aim of this study was to investigate the specificity and sensitivity of the conventional test combination used for the evaluation of the breast masses that included physical examination (PE), mammography (MG) and fine needle aspiration biopsy (FNAB) in evaluating the malignant or benign characteristics of the masses with respect to the data in our hospital, and to determine the specificity and sensitivity of alternative test combinations in order to compare the efficacy of these combinations. Materials and Methods:The ages and PE, ultrasonography (US), MG and FNAB findings of 636 women who were detected to have a mass breast mass in the examinations performed in the Cancer Screening Early Detection and Education Center (KETEM) between 2004 and 2009, were retrospectively investigated. Those who underwent excisional operation and follow-up were also evaluated. The specificity and sensitivity of each test or test combination were individually measured. Results:The median age of the participants was 58. All the patients were investigated with PE, USG, MG and FNAB. Excisional biopsy was performed in 448 patients and the mean follow-up period of all patients was 3 years. The sensitivity (Sn) and specificity (Sp) of the conventional triple test (PE+MG+FNAB) were 100% and 92.1% respectively, which seemed very high. It was observed that MG+US+FNAB triple test had the most successful diagnostic feature among all combinations, with a 100% Sn and 100% Sp. Conclusion:Although physical examination is essential for the evaluation of the possible masses within the breast, it is insufficient in evaluating the malignancy of the mass. Screening tests should definitely be performed in the presence of a mass. In women older than 40 years of age, US or MG alone may not be sufficient for the evaluation of the malignancy. We believe that performing these tests in conjunction, and supporting them by FNAB, can make the treatment of the mass be possible without the need for a more invasive procedure. Sonuç: Meme kitlesinin varlığını değerlendirmede fizik muayene gerekli olsa da maligniteyi değerlendirmede yetersiz kalmaktadır. Kitle varlığında mutlaka görüntüleme yöntemlerine başvurulmalıdır. Kırk yaş üstü kadınlar-da tek başına US ya da MG maligniteyi değerlendirmede yeterli olmayabilir. Bu görüntüleme yöntemlerinin birlikte kullanılması ve İİAB ile desteklenmesiyle daha invaziv bir işleme gerek kalmadan kitlenin tedavisi mümkün olabileceğini düşünmekteyiz.

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“…This increases the accuracy rate to 98% to 100%. [8,9] Triple assessment is a cost effective, easy to perform and time saving approach [1] .…”

Section: Role Of Fnac In Diagnosis Of Breast Lesionsmentioning

confidence: 99%