Accuracy of triple assessment as a clinical tool in detection of carcinoma breast
Keywords:Breast lump, Triple assessment, FNAC, Mammography
Background: One of the commonest clinical presentation of breast diseases is a lump. A definite diagnosis of any breast lump is very important to decide the course of treatment. The study evaluated that how effectively “triple assessment” helps in diagnosing carcinoma breast.
Methods: The present study is a diagnostic study which was conducted on 50 patients. Each patient underwent a detailed history, CBE, mammography and FNAC. In this study the results of each examination were divided into three groups: benign, suspicious and malignant. The final result was compared with the HPE findings and diagnostic accuracy of triple assessment was assessed.
Results: Total 86% of cases were found to be malignant on triple assessment and 14% cases were found out to be malignant later on histopathology. Among the malignant lesions, infiltrating ductal carcinoma had the lead 96%, followed by lobular carcinoma 1 case. Sensitivity, specificity, PPV, NPV for clinical breast examination was 97%, 100%, 66%, 100%. Sensitivity, specificity, PPV and NPV for imaging was 88.89%, 100%, 100%, 88.46%. Sensitivity, specificity, PPV for FNAC was found to be 87.76%, 100%, 100%.
Conclusions: The TT was concordant in 43 cases (86%). Sensitivity of triple assessment was 95%, specificity was 100% and negative predictive value to be 100%. The TT was concordant in 43 cases (86%). In rest of the 7 lesion which were non-concordant 6 were suspicious of malignancy and 1 was probably benign entity which were later on proven to be malignant lesions by histopathology. Sensitivity of triple assessment was 95%, specificity was 100% and negative predictive value to be 100%.
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