Role of Triple Test in Evaluating Breast Lumps

Breast tissue undergoes constant physiological changes in a woman’s life because of influence of endocrine hormones during and after reproductive life. These changes may present as pain, lumpiness or both in the breast. Breast lumps are feared for cancer. Thus, it is important for women with a breas...

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Main Authors: Sajid Iqbal, Saima Tabassum, Zahid Khan
Format: Article
Language:English
Published: Vilnius University Press 2023-05-01
Series:Lietuvos Chirurgija
Subjects:
Online Access:https://www.zurnalai.vu.lt/lietuvos-chirurgija/article/view/30716
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author Sajid Iqbal
Saima Tabassum
Zahid Khan
author_facet Sajid Iqbal
Saima Tabassum
Zahid Khan
author_sort Sajid Iqbal
collection DOAJ
description Breast tissue undergoes constant physiological changes in a woman’s life because of influence of endocrine hormones during and after reproductive life. These changes may present as pain, lumpiness or both in the breast. Breast lumps are feared for cancer. Thus, it is important for women with a breast lump to receive appropriate evaluation. Clinical breast examination is first step in evaluation of breast lump. The diagnostic sensitivity of clinical breast examination is high (98%) whereas its specificity is low, averaging 48%. Ultrasound is preferred in evaluation of radiologically dense breasts and in the study of breasts with augmentation mammoplasties. Micro-calcifications on mammography are considered to be important signs of breast cancer. X-ray mammography detects microcalcifications in 30–50% of breast cancers. FNAC is a cheap, cost effective and readily available routine diagnostic with a sensitivity ranging between 89% to 98% and specificity between 98% to 100% for palpable breast lumps. When combined together triple test achieves a higher sensitivity, specificity and diagnostic accuracy than any of the investigations taken alone. We conducted a prospective study to evaluate breast masses by clinical assessment, imaging and pathological examination. Results were compared with histopathology. We concluded that triple assessment in breast lumps gives superior results than any of its modalities taken alone.
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spelling doaj.art-8cc9d13ef8514c65930b0fad5c27f5182023-05-02T09:46:47ZengVilnius University PressLietuvos Chirurgija1392-09951648-99422023-05-0122210.15388/LietChirur.2023.22.81Role of Triple Test in Evaluating Breast LumpsSajid Iqbal0Saima Tabassum1Zahid Khan2Maharishi Markandeshwer Institute of Medical Sciences and Research, IndiaJK Health Department, IndiaMaharishi Markandeshwer Institute of Medical Sciences and Research, IndiaBreast tissue undergoes constant physiological changes in a woman’s life because of influence of endocrine hormones during and after reproductive life. These changes may present as pain, lumpiness or both in the breast. Breast lumps are feared for cancer. Thus, it is important for women with a breast lump to receive appropriate evaluation. Clinical breast examination is first step in evaluation of breast lump. The diagnostic sensitivity of clinical breast examination is high (98%) whereas its specificity is low, averaging 48%. Ultrasound is preferred in evaluation of radiologically dense breasts and in the study of breasts with augmentation mammoplasties. Micro-calcifications on mammography are considered to be important signs of breast cancer. X-ray mammography detects microcalcifications in 30–50% of breast cancers. FNAC is a cheap, cost effective and readily available routine diagnostic with a sensitivity ranging between 89% to 98% and specificity between 98% to 100% for palpable breast lumps. When combined together triple test achieves a higher sensitivity, specificity and diagnostic accuracy than any of the investigations taken alone. We conducted a prospective study to evaluate breast masses by clinical assessment, imaging and pathological examination. Results were compared with histopathology. We concluded that triple assessment in breast lumps gives superior results than any of its modalities taken alone. https://www.zurnalai.vu.lt/lietuvos-chirurgija/article/view/30716ultrasonographyX-ray mammographyFNACtriple testbreast self examination
spellingShingle Sajid Iqbal
Saima Tabassum
Zahid Khan
Role of Triple Test in Evaluating Breast Lumps
Lietuvos Chirurgija
ultrasonography
X-ray mammography
FNAC
triple test
breast self examination
title Role of Triple Test in Evaluating Breast Lumps
title_full Role of Triple Test in Evaluating Breast Lumps
title_fullStr Role of Triple Test in Evaluating Breast Lumps
title_full_unstemmed Role of Triple Test in Evaluating Breast Lumps
title_short Role of Triple Test in Evaluating Breast Lumps
title_sort role of triple test in evaluating breast lumps
topic ultrasonography
X-ray mammography
FNAC
triple test
breast self examination
url https://www.zurnalai.vu.lt/lietuvos-chirurgija/article/view/30716
work_keys_str_mv AT sajidiqbal roleoftripletestinevaluatingbreastlumps
AT saimatabassum roleoftripletestinevaluatingbreastlumps
AT zahidkhan roleoftripletestinevaluatingbreastlumps