A new score for the evaluation of palpable breast masses in women under age 40
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...
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| Veröffentlicht in: | The American journal of surgery 2002-10, Vol.184 (4), p.346-347 |
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| container_title | The American journal of surgery |
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| creator | Morris, Katherine T Vetto, John T Petty, J.K Lum, Sharon S Schmidt, Waldemar A Toth-Fejel, SuEllen Pommier, Rodney F |
| description | 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. |
| doi_str_mv | 10.1016/S0002-9610(02)00947-9 |
| format | Article |
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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.</description><identifier>ISSN: 0002-9610</identifier><identifier>EISSN: 1879-1883</identifier><identifier>DOI: 10.1016/S0002-9610(02)00947-9</identifier><identifier>PMID: 12383898</identifier><identifier>CODEN: AJSUAB</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Age groups ; Biological and medical sciences ; Biopsy ; Biopsy, Needle ; Breast ; Breast cancer ; Breast Neoplasms - diagnosis ; Deformities ; Diagnostic systems ; Female ; Fine needle aspiration ; Gynecology. Andrology. Obstetrics ; Humans ; Malignancy ; Mammary gland diseases ; Mammography ; Medical sciences ; Palpation ; Predictive Value of Tests ; Tumors ; Ultrasonic imaging ; Ultrasonography ; Ultrasonography, Mammary</subject><ispartof>The American journal of surgery, 2002-10, Vol.184 (4), p.346-347</ispartof><rights>2002 Elsevier Science Inc.</rights><rights>2002 INIST-CNRS</rights><rights>2002. Elsevier Science Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c419t-60e4d9c8e989dc9a1f19b9e80610300badef1ef5bb581d84d35447c4993a7b5c3</citedby><cites>FETCH-LOGICAL-c419t-60e4d9c8e989dc9a1f19b9e80610300badef1ef5bb581d84d35447c4993a7b5c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/2847452812?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>309,310,314,777,781,786,787,3537,23911,23912,25121,27905,27906,45976,64364,64366,64368,72218</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=13988845$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12383898$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Morris, Katherine T</creatorcontrib><creatorcontrib>Vetto, John T</creatorcontrib><creatorcontrib>Petty, J.K</creatorcontrib><creatorcontrib>Lum, Sharon S</creatorcontrib><creatorcontrib>Schmidt, Waldemar A</creatorcontrib><creatorcontrib>Toth-Fejel, SuEllen</creatorcontrib><creatorcontrib>Pommier, Rodney F</creatorcontrib><title>A new score for the evaluation of palpable breast masses in women under age 40</title><title>The American journal of surgery</title><addtitle>Am J Surg</addtitle><description>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.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age groups</subject><subject>Biological and medical sciences</subject><subject>Biopsy</subject><subject>Biopsy, Needle</subject><subject>Breast</subject><subject>Breast cancer</subject><subject>Breast Neoplasms - diagnosis</subject><subject>Deformities</subject><subject>Diagnostic systems</subject><subject>Female</subject><subject>Fine needle aspiration</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Malignancy</subject><subject>Mammary gland diseases</subject><subject>Mammography</subject><subject>Medical sciences</subject><subject>Palpation</subject><subject>Predictive Value of Tests</subject><subject>Tumors</subject><subject>Ultrasonic imaging</subject><subject>Ultrasonography</subject><subject>Ultrasonography, Mammary</subject><issn>0002-9610</issn><issn>1879-1883</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkE1LHTEUhoO06O3Vn2AJFEu7GE0mmTsnKxHphyC6UNchk5xpIzPJbTKj9N8bvReFbro6HHjel5eHkEPOjjnjq5MbxlhdqRVnX1j9lTEl20rtkAWHVlUcQLwji1dkj3zI-b68nEuxS_Z4LUCAggW5OqMBH2m2MSHtY6LTb6T4YIbZTD4GGnu6NsPadAPSLqHJEx1NzpipD_QxjhjoHBwman4hlWyfvO_NkPFge5fk7vu32_Of1eX1j4vzs8vKSq6masVQOmUBFShnleE9V51CYGWrYKwzDnuOfdN1DXAH0olGytZKpYRpu8aKJfm86V2n-GfGPOnRZ4vDYALGOeu25iBYKwv46R_wPs4plG26BtnKpoYiY0maDWVTzDlhr9fJjyb91ZzpZ936Rbd-dqnLfdGtVcl93LbP3YjuLbX1W4CjLWCyNUOfTLA-v3FCAYBsCne64bBIe_CYdLYeg0XnE9pJu-j_M-UJf3WZ_g</recordid><startdate>20021001</startdate><enddate>20021001</enddate><creator>Morris, Katherine T</creator><creator>Vetto, John T</creator><creator>Petty, J.K</creator><creator>Lum, Sharon S</creator><creator>Schmidt, Waldemar A</creator><creator>Toth-Fejel, SuEllen</creator><creator>Pommier, Rodney F</creator><general>Elsevier Inc</general><general>Elsevier</general><general>Elsevier Limited</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20021001</creationdate><title>A new score for the evaluation of palpable breast masses in women under age 40</title><author>Morris, Katherine T ; Vetto, John T ; Petty, J.K ; Lum, Sharon S ; Schmidt, Waldemar A ; Toth-Fejel, SuEllen ; Pommier, Rodney F</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c419t-60e4d9c8e989dc9a1f19b9e80610300badef1ef5bb581d84d35447c4993a7b5c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age groups</topic><topic>Biological and medical sciences</topic><topic>Biopsy</topic><topic>Biopsy, Needle</topic><topic>Breast</topic><topic>Breast cancer</topic><topic>Breast Neoplasms - diagnosis</topic><topic>Deformities</topic><topic>Diagnostic systems</topic><topic>Female</topic><topic>Fine needle aspiration</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Malignancy</topic><topic>Mammary gland diseases</topic><topic>Mammography</topic><topic>Medical sciences</topic><topic>Palpation</topic><topic>Predictive Value of Tests</topic><topic>Tumors</topic><topic>Ultrasonic imaging</topic><topic>Ultrasonography</topic><topic>Ultrasonography, Mammary</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Morris, Katherine T</creatorcontrib><creatorcontrib>Vetto, John T</creatorcontrib><creatorcontrib>Petty, J.K</creatorcontrib><creatorcontrib>Lum, Sharon S</creatorcontrib><creatorcontrib>Schmidt, Waldemar A</creatorcontrib><creatorcontrib>Toth-Fejel, SuEllen</creatorcontrib><creatorcontrib>Pommier, Rodney F</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Morris, Katherine T</au><au>Vetto, John T</au><au>Petty, J.K</au><au>Lum, Sharon S</au><au>Schmidt, Waldemar A</au><au>Toth-Fejel, SuEllen</au><au>Pommier, Rodney F</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A new score for the evaluation of palpable breast masses in women under age 40</atitle><jtitle>The American journal of surgery</jtitle><addtitle>Am J Surg</addtitle><date>2002-10-01</date><risdate>2002</risdate><volume>184</volume><issue>4</issue><spage>346</spage><epage>347</epage><pages>346-347</pages><issn>0002-9610</issn><eissn>1879-1883</eissn><coden>AJSUAB</coden><abstract>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.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>12383898</pmid><doi>10.1016/S0002-9610(02)00947-9</doi><tpages>2</tpages></addata></record> |
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| ispartof | The American journal of surgery, 2002-10, Vol.184 (4), p.346-347 |
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| subjects | Adolescent Adult Age groups Biological and medical sciences Biopsy Biopsy, Needle Breast Breast cancer Breast Neoplasms - diagnosis Deformities Diagnostic systems Female Fine needle aspiration Gynecology. Andrology. Obstetrics Humans Malignancy Mammary gland diseases Mammography Medical sciences Palpation Predictive Value of Tests Tumors Ultrasonic imaging Ultrasonography Ultrasonography, Mammary |
| title | A new score for the evaluation of palpable breast masses in women under age 40 |
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