TY - JOUR
T1 - A new score for the evaluation of palpable breast masses in women under age 40
AU - Morris, Katherine T.
AU - Vetto, John T.
AU - Petty, J. K.
AU - Lum, Sharon S.
AU - Schmidt, Waldemar A.
AU - Toth-Fejel, Su Ellen
AU - Pommier, Rodney F.
PY - 2002/10/1
Y1 - 2002/10/1
N2 - Background: The purpose of this study was to develop a rapid and accurate diagnostic test for palpable breast masses in women under age 40. Methods: Masses were evaluated utilitzing a modified triple test score (MTTS), which assigned scores of 1 point for benign, 2 points for suspicious, or 3 points for malignant findings from physical examination, ultrasonography, and fine needle aspiration. The MTTS was the sum of the three scores and was correlated with biopsy or follow-up. Results: Among 113 masses, 100 scored 3 points, 8 scored 4 points; all were benign. Three scored 5 points; 1 was malignant. Two scored ≥6 points: both were malignant. Conclusions: The MTTS has 100% diagnostic accuracy when other than 5 points. Masses scoring ≤4 points are benign. Masses scoring ≥6 points may proceed to definitive therapy. Masses scoring 5 points (3%) require biopsy. This approach avoids open biopsy in the majority of cases, while capturing all malignancies.
AB - Background: The purpose of this study was to develop a rapid and accurate diagnostic test for palpable breast masses in women under age 40. Methods: Masses were evaluated utilitzing a modified triple test score (MTTS), which assigned scores of 1 point for benign, 2 points for suspicious, or 3 points for malignant findings from physical examination, ultrasonography, and fine needle aspiration. The MTTS was the sum of the three scores and was correlated with biopsy or follow-up. Results: Among 113 masses, 100 scored 3 points, 8 scored 4 points; all were benign. Three scored 5 points; 1 was malignant. Two scored ≥6 points: both were malignant. Conclusions: The MTTS has 100% diagnostic accuracy when other than 5 points. Masses scoring ≤4 points are benign. Masses scoring ≥6 points may proceed to definitive therapy. Masses scoring 5 points (3%) require biopsy. This approach avoids open biopsy in the majority of cases, while capturing all malignancies.
KW - Breast cancer
KW - Fine needle aspiration
KW - Ultrasonography
UR - http://www.scopus.com/inward/record.url?scp=0036805421&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0036805421&partnerID=8YFLogxK
U2 - 10.1016/S0002-9610(02)00947-9
DO - 10.1016/S0002-9610(02)00947-9
M3 - Article
C2 - 12383898
AN - SCOPUS:0036805421
SN - 0002-9610
VL - 184
SP - 346
EP - 347
JO - American journal of surgery
JF - American journal of surgery
IS - 4
ER -