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Category: Volume 08 Issue 01 January 2020
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Title: Triple Assessment in Evaluation of Breast Lump

Authors: Dr Saispandana.D, Dr C. Sree Harsha, Dr S.V. Satyanarayana Rao

 DOI: https://dx.doi.org/10.18535/jmscr/v8i1.102

Abstract

Background: The breast triple assessment is a hospital-based assessment clinic that allows for the early and rapid detection of breast cancer. The triple-assessment aims to provide a quick and simple outpatient approach to diagnosis and allow for the early intervention in the treatment of breast cancer. At each stage of the triple assessment, the suspicion for malignancy is graded to create an overall risk index. The key here is to establish whether this is likely a benign lesion or whether the patient should go onto have more definitive biopsy and further intervention.

Materials and Methods: A total of 100 patients were involved in prospective, randomized observational study in department of general surgery admitted with breast lumps in GREAT EASTERN MEDICAL SCHOOL AND HOSPITAL. Patients belonging to10 and 70 years presenting with breast lump are included in the study.

Results: in the present study we found 94% of cases i.e. 94 cases give concordant results while results of 6 patients shows non-concordance either benign or malignant. But none of the results shows the malignant one as benign.

Conclusion: The clinical examination has low sensitivity and thus should always be corroborated with other modalities of investigation. FNAC gives fairly good results in terms of sensitivity and specificity. USG and Mammography have given consistent and acceptable results. When three modalities of investigation viz. physical examination, imaging, and FNAC is combined the sensitivity, specificity and accuracy increases more than any of individual tests.

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Corresponding Author

Dr Saispandana.D

Postgraduate, Department of General Surgery, Gems