Breast lumps diagnostic study of choice: Difference between revisions
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== Diagnostic Study of Choice == | == Diagnostic Study of Choice == | ||
=== | === Gold Standard === | ||
==== Mammography ==== | |||
[[Mammography]] is the gold standard test for the diagnosis of [[breast lumps]] in women aged >40 years old.<ref name="pmid25341156">{{cite journal| author=Lehman CD, Lee AY, Lee CI| title=Imaging management of palpable breast abnormalities. | journal=AJR Am J Roentgenol | year= 2014 | volume= 203 | issue= 5 | pages= 1142-53 | pmid=25341156 | doi=10.2214/AJR.14.12725 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25341156 }} </ref> | [[Mammography]] is the gold standard test for the diagnosis of [[breast lumps]] in women aged >40 years old.<ref name="pmid25341156">{{cite journal| author=Lehman CD, Lee AY, Lee CI| title=Imaging management of palpable breast abnormalities. | journal=AJR Am J Roentgenol | year= 2014 | volume= 203 | issue= 5 | pages= 1142-53 | pmid=25341156 | doi=10.2214/AJR.14.12725 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25341156 }} </ref> | ||
*If the patient had positive history of [[bilateral]] [[mammography]], | *If the patient had positive history of [[bilateral]] [[mammography]] within past 6 months, only [[ipsilateral]] [[mammography]] is needed. | ||
[[Ultrasound]] is the gold standard test for the diagnosis of [[breast lumps]] in women aged <40 years old. | |||
==== Ultrasound ==== | |||
[[Ultrasound]] is the gold standard test for the diagnosis of [[breast lumps]] in women aged <40 years old.<ref name="pmid25341156" /> | |||
The comparison of various diagnostic studies for [[breast lumps]] <ref name="pmid25241817">{{cite journal| author=Tan KP, Mohamad Azlan Z, Rumaisa MP, Siti Aisyah Murni MR, Radhika S, Nurismah MI et al.| title=The comparative accuracy of ultrasound and mammography in the detection of breast cancer. | journal=Med J Malaysia | year= 2014 | volume= 69 | issue= 2 | pages= 79-85 | pmid=25241817 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25241817 }} </ref> | The comparison of various diagnostic studies for [[breast lumps]] <ref name="pmid25241817">{{cite journal| author=Tan KP, Mohamad Azlan Z, Rumaisa MP, Siti Aisyah Murni MR, Radhika S, Nurismah MI et al.| title=The comparative accuracy of ultrasound and mammography in the detection of breast cancer. | journal=Med J Malaysia | year= 2014 | volume= 69 | issue= 2 | pages= 79-85 | pmid=25241817 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25241817 }} </ref> | ||
Revision as of 18:28, 4 January 2019
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
Diagnostic Study of Choice
Gold Standard
Mammography
Mammography is the gold standard test for the diagnosis of breast lumps in women aged >40 years old.[1]
- If the patient had positive history of bilateral mammography within past 6 months, only ipsilateral mammography is needed.
Ultrasound
Ultrasound is the gold standard test for the diagnosis of breast lumps in women aged <40 years old.[1]
The comparison of various diagnostic studies for breast lumps [2]
| Sensitivity | Specificity | |
|---|---|---|
| Ultrasound | 82% | 84% |
| Mammography | 49% | 89% |
Breast ultrasound has higher sensitivity and mammography has higher specificity. The accuracy of ultrasound reported as 84% and accuracy of mammography reported as 81% [2].
References
- ↑ 1.0 1.1 Lehman CD, Lee AY, Lee CI (2014). "Imaging management of palpable breast abnormalities". AJR Am J Roentgenol. 203 (5): 1142–53. doi:10.2214/AJR.14.12725. PMID 25341156.
- ↑ 2.0 2.1 Tan KP, Mohamad Azlan Z, Rumaisa MP, Siti Aisyah Murni MR, Radhika S, Nurismah MI; et al. (2014). "The comparative accuracy of ultrasound and mammography in the detection of breast cancer". Med J Malaysia. 69 (2): 79–85. PMID 25241817.