Özet:

Background: Breast lump is a common complaint of women presenting to surgeons. Most of them are benign, careful evaluation, exact diagnosis and definitive treatment is mandatory to rule out cancer. The diagnosis of breast cancer is suggested on clinical examination. Currently a combination of three tests, i.e. clinical examination, radiological imaging (mammography, ultrasonography) and pathology called as triple assessment test is used to accurately diagnose all palpable breast lumps. Together they give sensitivity of 100%. The triple assessment is taken as positive if any of the three components, two are positive or positive report of FNAC and negative only if all of its components are negative for malignancy. Methods: A descriptive cross sectional study was conducted in the Department of General Surgery, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India from December   2016 to july 2017. A total of 300 patients with a breast lump were included in this study. A detailed history, focused clinical examination, radiological imaging and FNAC were used as diagnostic tools for screening of the patients. Results: The result of individual components as overall M.T.T was compared with the final histopathological examination. Result of physical examination showed sensitivity 92.67% and specificity 96.67% for diagnosing malignant breast lesion. The ultra-sonography revealed 91.33% of sensitivity, 98.66% of specificity. FNAC revealed that 96.25% sensitivity while specificity was 99.57%. Conclusion: Thus, triple assessment is an easily available, cost effective, least invasive, rapid and patient compliant diagnostic tool for diagnosis of breast lump. Keywords: Modified triple assessment, Clinical examination, Mammography, Ultrasonography, Fine-needle aspiration

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