Adequacies and inadequacies of breast examinations by physicians

Venet, Louis; Strax, Philip; Venet, Wanda; Shapiro, Sam

doi:10.1002/1097-0142(196912)24:6<1187::aid-cncr2820240619>3.0.co;2-9

Cited by 20 publications

(4 citation statements)

References 9 publications

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“…A prime indication for the diagnosis of minimal, non-palpable, asymptomatic and hghly curable breast cancer is the presence of radiologic mass and/or a cluster of microcalcifications. Fine punctate calcifications clustered in a localized area appear in approximately one-third of the non-palpable carcinomas and constitute a strong criteria for biopsy [Venet et al, 1971;Shepard et al, 19741 . In a five-year survey of a series of 408 women at high risk who previously had unilateral mastectomy, yearly screening with addition of mammography to the clinical examination of the remaining breast revealed 12 non-palpable carcinomas in patients over age SO, of which seven had suspicious microcalcifications on mammography [Rosner et al, 19781. In the present study, fine punctate microcalcifications seen by X-ray mammography were not detectable by ultrasonography.…”

Section: Discussionmentioning

confidence: 99%

Ultrasonography in the diagnosis of breast disease

Rosner

Weiss

Norman

1980

Journal of Surgical Oncology

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Two hundred nine patients with breast disease were examined with a new advanced ultrasonic scanner. The ultrasound data were compared with clinical examination and, when available, X-ray, surgical, and pathologic observations. The main purpose of the study was to determine whether ultrasonic examination provides additional diagnostic information on breast disease, to compare the sensitivity of ultrasonic examination with other diagnostic modalities, and to define its clinical applications. mitted a more accurate, detailed description of the lesions than other modalities and was capable of detecting cysts as small as 0.2 cm in diameter. By the use of ultrasound, fibrocystic disease was correctly diagnosed in 97% of patients and confirmed the presence of palpable cystic masses in 95%. In 24 cases of histologically confirmed breast cancer, 16 were diagnosed initially by ultrasound and 18 on review, compared with 22 of 24 cases by X-ray mammography. Six of the eight initial false-negative cases belonged to the non-palpable group, where sonography could not visualize the presence of microcalcifications or radiologic mass identified by X-ray mammography. In two patients who refused mammography, cancer was diagnosed by ultrasound only.Our results demonstrate that ultrasound is a useful adjunct t o other techniques in the differential diagnosis of breast lesions; however, it is not an unqualified substitute for X-ray mammography. At present, we therefore consider that breast screening programs cannot be based on ultrasound alone. The main proven use of ultrasound is in the differential diagnosis of palpable lesions of the breast.

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Section: Discussionmentioning

confidence: 99%

Ultrasonography in the diagnosis of breast disease

Rosner

Weiss

Norman

1980

Journal of Surgical Oncology

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“…The most significant study from New York has been designed to compare the mortality from breast cancer in women in whom regular annual screening has been carried out by clinical examination and mammography with the mortality of those who are receiving normal medical care (Strax et al, 1967Venet et al, 1969). Though the final evaluation of this study must await assessment of mortality, it is already apparent that those cases of breast cancer which have been discovered in the screened group have a lower incidence of lymphatic involvement than those arising in the control population.…”

Section: Introductionmentioning

confidence: 99%

Accuracy of Screening Methods for the Diagnosis of Breast Disease

Furnival¹,

Stewart²,

Weddell³

et al. 1970

BMJ

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Summary: Clinical examination, thermography, and 70-mm. mammography were performed in 891 patients-414 presented to hospital with symptoms of breast disease and 477 were asymptomatic. Comparison of the diagnostic accuracy of these methods showed that neither thermography nor 70-mm. mammography has a useful place as an isolated screening procedure for breast cancer. In fact, we consider such a policy dangerous.

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“…However, clinical examination (Venet et al, 1969) and mammography (Pressman, 1977) are both imperfect means of following patients.…”

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confidence: 99%