Accuracy of Triple Test Score in The Diagnosis of Palpable Breast Lump

Ghimire, Bikal; Khan, M H; Bibhusal, T; Singh, Yogendra; Sayami, Prakash

doi:10.31729/jnma.155

Cited by 17 publications

(11 citation statements)

References 7 publications

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“…Through CBA, the evaluating clinician collects historical information regarding a patient's breast complaints (lump, thickening, nipple discharge, focal pain, duration of symptoms, etc) and integrates it with findings on CBE to develop a differential diagnosis, which, in turn, drives the selection of diagnostic imaging tests and tissue sampling. The triple‐test combination of clinical assessment, radiologic imaging, and tissue pathology has been shown to be a reliable framework for breast diagnosis with high sensitivity and specificity, even in the setting of LMICs 33,34 …”

Section: Breast Health System Requirementsmentioning

confidence: 99%

The Breast Health Global Initiative 2018 Global Summit on Improving Breast Healthcare Through Resource‐Stratified Phased Implementation: Methods and overview

Duggan

Dvaladze

Rositch

et al. 2020

Cancer

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BACKGROUND:The Breast Health Global Initiative (BHGI) established a series of resource-stratified, evidence-based guidelines to address breast cancer control in the context of available resources. Here, the authors describe methodologies and health system prerequisites to support the translation and implementation of these guidelines into practice. METHODS: In October 2018, the BHGI convened the Sixth Global Summit on Improving Breast Healthcare Through Resource-Stratified Phased Implementation. The purpose of the summit was to define a stepwise methodology (phased implementation) for guiding the translation of resource-appropriate breast cancer control guidelines into real-world practice. Three expert consensus panels developed stepwise, resource-appropriate recommendations for implementing these guidelines in low-income and middle-income countries as well as underserved communities in high-income countries. Each panel focused on 1 of 3 specific aspects of breast cancer care: 1) early detection, 2) treatment, and 3) health system strengthening. RESULTS: Key findings from the summit and subsequent article preparation included the identification of phased-implementation prerequisites that were explored during consensus debates. These core issues and concepts are key components for implementing breast health care that consider real-world resource constraints. Communication and engagement across all levels of care is vital to any effectively operating health care system, including effective communication with ministries of health and of finance, to demonstrate needs, outcomes, and cost benefits. CONCLUSIONS: Underserved communities at all economic levels require effective strategies to deploy scarce resources to ensure access to timely, effective, and affordable health care. Systematically strategic approaches translating guidelines into practice are needed to build health system capacity to meet the current and anticipated global breast cancer burden. Cancer 2020;126:2339-2352.

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Section: Breast Health System Requirementsmentioning

confidence: 99%

The Breast Health Global Initiative 2018 Global Summit on Improving Breast Healthcare Through Resource‐Stratified Phased Implementation: Methods and overview

Duggan

Dvaladze

Rositch

et al. 2020

Cancer

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“…23 Triple test score (physical examination, mammography and fi ne needle aspiration cytology, each component is designated as benign, suspicious and malignant and rated as 1, 2, and 3, respectively) can be an accurate diagnostic modality to initiate defi nitive treatment of breast carcinoma specially in our context where frozen section is not routinely available. 24 Percutaneous core needle biopsy (CNB) has widely replaced cytology obtained by fi ne-needle aspiration, and is the established method of sampling imagedetected lesions. 25 CNB provides more information than FNAC and assists in planning therapy before surgery in women with cancer, as it reliably distinguishes between invasive and in-situ disease, and allows determination of hormone and growth factor receptors.…”

Section: Pathologymentioning

confidence: 99%

Management of Breast Cancer in Nepal

Singh¹,

Sayami²

2009

J Nepal Med Assoc

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Breast cancer is the second most common malignancy among women in Nepal. It is more commonin young premenopausal women. Breast cancer continues to increase in incidence due to lifestylechanges in Nepalese women despite constant remarkable development in the management of thisdisease over the past three decades. Breast cancer was diagnosed solely clinically and surgery wasthe only treatment option until fi fty years ago. Multidisciplinary approach has been adopted fordiagnosis and treatment of breast cancer in Nepal. Imaging is required for the diagnosis, appropriatetreatment decision and proper follow up. Treatment modality depends upon the extent of thedisease and tumor biology. However, there is a strong need for standard guidelines for the propermanagement of breast cancer in Nepal so that surgeries, chemotherapy, hormone therapy andradiotherapy are standardized in the country. Palliative care has been initiated to provide to somepatients with metastatic breast cancer recently.The breast cancer management in Nepal is a little different when compared with the centers in thedeveloped countries. The reasons are socioeconomic status, lack of education and lack of facilities.Although cancer care is on the rise in Nepal, the optimal facility for centers managing breast cancerhas to be improved signifi cantly.Cancer education, screening and early detection are the keyelements to infl uence the diagnosis, treatment and prognosis of breast cancer in Nepal. Breast cancerawareness and clinical breast examination are important tools for early detection in our resourcelimited context. Breast cancer can be cured in majority of the cases if diagnosed in early stages.This review will focus on relevant patient data along with future recommendation regarding breastcancer treatment in Nepal.Key Words: Breast cancer, cancer education, chemotherapy, imaging, radiotherapy, surgery

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“…Study published by Ghimire B, Khan MI, Bibhusal T et al, accuracy of Triple assessment in the diagnosis of palpable breast lump, patients were categorized into benign, suspicious and malignant by Triple assessment (physical examination, mammography and fine needle aspiration cytology). [9] This was later correlated with the histopathological findings. Nineteen patients with breast lumps interpreted by triple assessment as benign correlated with the histopathological findings whereas of 31 malignant lumps, 30 turned out to be malignant and one benign.…”

Section: Discussionmentioning

confidence: 72%

A study of accuracy of triple assessment as a clinical tool for the diagnosis of a palpable breast lump

Surati¹,

Suthar²,

Parekh³

et al. 2013

Int J Med Sci Public Health

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Background: Diseases related to breast are the highest in this country as well as in the world. Various types of lesion from inflammation to carcinoma can affect breast. Some lesions are common in young females while others in elderly age group. Early presentation and prompt diagnosis is essential to relieve anxiety of non-neoplastic conditions, and in case of carcinoma, it can save the patient from metastases. In this study many cases related to breast lesions from the region are reported in the surgery clinics of this institute and various breast diseases are being managed in the clinical departments. For disease confirmation, many diagnostic procedures are recommended with aims to help in decision for surgical treatment. To study prevalence of various breast disease condition coming to our hospital and their management. Analysis of pattern and prevalence will be a valuable guideline for clinicians of this location to compare with that of others. This study was to evaluate the accuracy of Triple assessment (physical examination, mammography and fine needle aspiration cytology) as a clinical tool for the diagnosis of a palpable breast lump. Aims & Objective: (1) To study incidence for breast disease; (2) To study etiopathogenesis of it; (3) To study patient presentation and manifestation; (4) To study management of various breast diseases; and (5) To study various modalities of treatment. Material and Methods: This prospective study was carried out in the department of surgery during period from 1 st march 2011 to 28 th February 2012 in indoor and outdoor patients. Each patient was study in detail with relevant clinical history, examination, mammography and histological findings and management. The study comprised of total 100 patients of breast disease treated with various modalities. Results: In the study of total 100 cases, inflammatory conditions were present in 15%, fibrocystic lesion 35%, fibroadenoma 20%, gynaecomastia 2% and carcinoma 10%. This comparative study reported data by clinical analyses, mammography and histological findings in 100 women with ages from 18 to 60. Malignant carcinoma found in 10% of cases while benign breast disease and other condition found in 90% of cases. Conclusion: Fibrocystic disease was the commonest lesion in this study with 30 years as the average age of presentation. Malignancy was detected above 47 years of age. Ninety patients with breast lumps interpreted by Triple Assessment as benign correlated with the histopathological findings whereas of 10 malignant lumps. This gives Triple Assessment an overall accuracy of 100% in our study.

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Accuracy of Triple Test Score in The Diagnosis of Palpable Breast Lump

Cited by 17 publications

References 7 publications

The Breast Health Global Initiative 2018 Global Summit on Improving Breast Healthcare Through Resource‐Stratified Phased Implementation: Methods and overview

The Breast Health Global Initiative 2018 Global Summit on Improving Breast Healthcare Through Resource‐Stratified Phased Implementation: Methods and overview

Management of Breast Cancer in Nepal

A study of accuracy of triple assessment as a clinical tool for the diagnosis of a palpable breast lump

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