Investigation of suspected breast cancer  

Oleh:

Britton, Peter ; Sinnatamby, Ruchi

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: British Medical Journal (keterangan: ada di Proquest) vol. 335 no. 7615 (Aug. 2007), page 347.
Topik: Practice

Ketersediaan

Perpustakaan FK Nomor Panggil: B16.K.2007.03 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

Lihat Detail Induk

Isi artikel

The patient An 81 year old woman was referred to a multidisciplinary breast clinic with a lump in her right breast. Such patients undergo "triple" assessment—clinical examination, imaging, and, if necessary, needle biopsy. On clinical examination she had a mass in the upper outer quadrant, which was suspected to be an underlying carcinoma. What tests do I order? It is usual practice for patients over 35 years with discrete breast lumps to undergo mammography and ultrasound. In patients under 35 years, ultrasound is the first line investigation. Mammography Mammography has been evaluated more extensively than any other imaging technique and remains a mainstay of the diagnosis of breast cancer. Reported sensitivity in detecting palpable breast cancer is 80-90%,1 but it is lower in patients with dense breast parenchyma. A normal mammogram can be seen in the presence of a palpable breast cancer, so national guidance recommends that all breast units should provide triple assessment clinics for symptomatic women . . .

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