Diagnosis of palpable breast lesions in younger women by the modified triple test is accurate and cost-effective. Discussion.
Annual Session of the Pacific Coast Surgical Association. San Diego, Calif USA, 1996/02/20.
To study the accuracy and cost of diagnosing palpable breast lesions in younger patients using a modified triple test (MTT : physical examination, ultrasonography instead of mammography, and fine-needle aspiration).
Diagnostic test study and cost-effectiveness estimate.
Multidisciplinary university breast clinic.
Fifty-five women below the recommended age of screening mammography (mean age, 33 years) with unilateral, palpable breast lesions.
Each lesion was tested by all 3 elements of MTT, and each element was interpreted as benign, suspicious, or malignant.
Main Outcome Measures
Patients with MTTs in which all elements were concordant (in agreement) and benign were evaluated clinically (mean follow-up, 11 months).
Patients in whom the results of fine-needle aspiration were scored as suspicious or malignant underwent open confirmatory biopsy.
Forty-eight patients had concordant benign MTTs, including 14 patients with breast cysts.
No cancers developed at the index sites during follow-up, including 5 biopsies done at the patients'request (negative predictive value and specificity, 100%). Fine-needle aspiration and physical examination were more accurate than ultrasonography in the 7 cases in which MTT was nonconcordant. (...)
Mots-clés Pascal : Tumeur, Glande mammaire, Diagnostic, Palpation, Association, Exploration ultrason, Ponction aspiration, Aiguille fine, Intérêt, Analyse avantage coût, Homme, Femelle, Glande mammaire pathologie
Mots-clés Pascal anglais : Tumor, Mammary gland, Diagnosis, Palpation, Association, Sonography, Aspiration punction, Fine needle, Interest, Cost benefit analysis, Human, Female, Mammary gland diseases
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Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0432536
Code Inist : 002B20E02. Création : 10/04/1997.