Abstract
The value and accuracy of a scoring system applied to clinical examination, aspiration cytology and mammography has been assessed in the diagnosis of 224 consecutive 'new' patients attending a breast clinic with a breast lump. In 72 of 99 patients with breast cancer (80%) the scores were high enough to allow definitive surgery without formal histology; all were subsequently confirmed as breast carcinomas. Cytology proved the most accurate investigation with no false positives and a correct diagnosis in 146 of 148 adequate specimens (98.6%). This system reduced the frozen section rate by 74% and allowed for a more appropriate counselling of patients prior to mastectomy.
Full text
PDF
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Duguid H. L., Wood R. A., Irving A. D., Preece P. E., Cuschieri A. Needle aspiration of the breast with immediate reporting of material. Br Med J. 1979 Jul 21;2(6183):185–187. doi: 10.1136/bmj.2.6183.185. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Franzén S., Zajicek J. Aspiration biopsy in diagnosis of palpable lesions of the breast. Critical review of 3479 consecutive biopsies. Acta Radiol Ther Phys Biol. 1968 Aug;7(4):241–262. doi: 10.3109/02841866809133198. [DOI] [PubMed] [Google Scholar]
- Gardecki T. I., Hogbin B. M., Melcher D. H., Smith R. S. Aspiration cytology in the preoperative management of breast cancer. Lancet. 1980 Oct 11;2(8198):790–792. doi: 10.1016/s0140-6736(80)90396-7. [DOI] [PubMed] [Google Scholar]
- Kreuzer G., Boquoi E. Aspiration biopsy cytology, mammography and clinical exploration: a modern set up in diagnosis of tumors of the breast. Acta Cytol. 1976 Jul-Aug;20(4):319–323. [PubMed] [Google Scholar]
- Rimsten A., Stenkvist B., Johanson H., Lindgren A. The diagnostic accuracy of palpation and fine-needle biopsy and an evaluation of their combined use in the diagnosis of breast lesions: report on a prospective study in 1244 women with symptoms. Ann Surg. 1975 Jul;182(1):1–8. doi: 10.1097/00000658-197507000-00001. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Roberts J. G., Preece P. E., Bolton P. M., Baum M., Hughes L. E. The 'tru-cut' biopsy in breast cancer. Clin Oncol. 1975 Dec;1(4):297–303. [PubMed] [Google Scholar]
- Thomas J. M., Fitzharris B. M., Redding W. H., Williams J. E., Trott P. A., Powles T. J., Ford H. T., Gazet J. C. Clinical examination, xeromammography, and fine-needle aspiration cytology in diagnosis of breast tumours. Br Med J. 1978 Oct 21;2(6145):1139–1141. doi: 10.1136/bmj.2.6145.1139. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Webb A. J. The diagnostic cytology of breast carcinoma. Br J Surg. 1970 Apr;57(4):259–264. doi: 10.1002/bjs.1800570405. [DOI] [PubMed] [Google Scholar]
- Zajdela A., Ghossein N. A., Pilleron J. P., Ennuyer A. The value of aspiration cytology in the diagnosis of breast cancer: experience at the Fondation Curie. Cancer. 1975 Feb;35(2):499–506. doi: 10.1002/1097-0142(197502)35:2<499::aid-cncr2820350231>3.0.co;2-1. [DOI] [PubMed] [Google Scholar]