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  1. Diagnosis of palpable breast lesions in younger women by the modified triple test is accurate and cost-effective. Discussion.

    Article, Communication - En anglais

    Annual Session of the Pacific Coast Surgical Association. San Diego, Calif USA, 1996/02/20.

    Objective 

    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).

    Design 

    Diagnostic test study and cost-effectiveness estimate.

    Setting 

    Multidisciplinary university breast clinic.

    Patients 

    Fifty-five women below the recommended age of screening mammography (mean age, 33 years) with unilateral, palpable breast lesions.

    Intervention 

    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.

    Results 

    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

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0432536

    Code Inist : 002B20E02. Création : 10/04/1997.