Reasons underlying negative mammography in patients with palpable breast cancer

It is well recognized that a negative mammogram report does not exclude the presence of breast carcinoma. This study examines the accuracy of mammography in patients with palpable breast cancer. In particular, the study evaluates the reasons underlying negative mammography in breast cancer. All pati...

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Veröffentlicht in:Clinical radiology 1994-02, Vol.49 (2), p.123-125
Hauptverfasser: Coveney, E.C., Geraghty, J.G., O'Laoide, R., Hourihane, J.B., O'Higgins, N.J.
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container_end_page 125
container_issue 2
container_start_page 123
container_title Clinical radiology
container_volume 49
creator Coveney, E.C.
Geraghty, J.G.
O'Laoide, R.
Hourihane, J.B.
O'Higgins, N.J.
description It is well recognized that a negative mammogram report does not exclude the presence of breast carcinoma. This study examines the accuracy of mammography in patients with palpable breast cancer. In particular, the study evaluates the reasons underlying negative mammography in breast cancer. All patients with Pagets' disease, carcinoma in situ lesions or lesions infiltrating skin were excluded. A total of 291 patients presenting with palpable breast carcinoma underwent mammography prior to biopsy. False negative reports occurred in 16.5% (48). The sensitivity of mammography increased with age, from 70% (14/20) in 31–40-year-olds to 91% (113/124) in women over 60 years. Retrospective review of false negative mammograms showed that 30% of these were deemed normal while 20% were obvious oversights. The remaining 50% showed subtle radiographic abnormalities, consistent with but not diagnostic of malignancy.
doi_str_mv 10.1016/S0009-9260(05)83454-3
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source MEDLINE; Elsevier ScienceDirect Journals
subjects Adult
Age Factors
Aged
Biological and medical sciences
Biopsy
Breast Neoplasms - diagnosis
Breast Neoplasms - diagnostic imaging
Breast Neoplasms - pathology
Evaluation Studies as Topic
Female
Genital system. Mammary gland
Humans
Investigative techniques, diagnostic techniques (general aspects)
Mammography
Medical sciences
Middle Aged
Palpation
Radiodiagnosis. Nmr imagery. Nmr spectrometry
Retrospective Studies
title Reasons underlying negative mammography in patients with palpable breast cancer
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