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Document Details
Document Type
:
Article In Journal
Document Title
:
Analysis of Inconclusive Breast FNA by Triple Test
تحليل إف إن إيه الصّدر الغير حاسم بالاختبار الثّلاثيّ
Subject
:
Analysis of Inconclusive Breast FNA by Triple Test
Document Language
:
English
Abstract
:
Objective:To evaluate the efficiency of triple test for non-diagnostic (inconclusive and inadequate) FNAs of palpable breast lesions and to compare our results with the literature. Methods:A retrospective analysis was done on cases that were having cyto-histological correlation with clinical and radiological follow up. Out of 446 FNAs performed at our institute during the period of 15 years, only 16 cases were discovered fulfilling the above criteria and these were reviewed blindly and scored. The triple test was applied to each case. Each component of the triple test was assigned 1, 2, or 3 points for a benign, suspicious, or malignant result, respectively, yielding a total triple test score (TTS) of these 16 cases. Results:Three out of 16 specimens were unsatisfactory and rest 13 cases inconclusive (i.e., suspicious) cytologically, diagnosed as having scant atypical cells. All malignant caSes scored above 6 except one case that scored 5. The two benign cases scored I and 3. On histological follow up 2 of the unsatisfactory cases turned out as fibroadenoma (scored I and 3) and one as malignant (scored 5). Among inconclusive cases all turned out to be malignant on histological follow up (all scored 6 and above). High clinical suspicion was present in all 14 cases that were proved in histological follow up. Radiological diagnosis of malignancy was present in 11 of 14 malignant cases, suspicious in two malignant cases and in I of 2 fibroadenoma cases. All cases underwent surgical removal of the mass as a result of clinical or radiological suspicion. Conclusion:Triple test can reliably guide the evaluation and treatment of palpable breast masses. Masses that score 6 points or higher are malignant and should undergo definitive therapy; masses that score 4 points or lower are benign and may be clinically followed up. Only those masses that score 5 points require open biopsy. Our results were in concordance with other lager studies published in the literature. We recommend utilizing the three diagnostic parameters of cytology, clinical findings and radiology, the triple test, to achieve the best diagnostic accuracy in breast FNAs and patient management
ISSN
:
0030-9983
Journal Name
:
The journal of the Pakistan Medical Association
Volume
:
52
Issue Number
:
1
Publishing Year
:
1421 AH
2002 AD
Article Type
:
Article
Added Date
:
Saturday, March 23, 2013
Researchers
Researcher Name (Arabic)
Researcher Name (English)
Researcher Type
Dr Grade
Email
ابراهيم حسن الزهراني
alzhrani, ibrahim hassan
Researcher
Doctorate
ibrahimzahrani@hotmail.com
Files
File Name
Type
Description
35302.pdf
pdf
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