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Analysis Study Research Paper | General Surgery | India | Volume 14 Issue 3, March 2025 | Popularity: 4.1 / 10
A Study for Evaluation of Modified Triple Test for the Assessment of Palpable Breast Lumps
Dr. Shikhar Agarwal, Dr. S. K. Sagar, Dr. Shipra Doda, Dr. Mohit Singhal
Abstract: Breast lump is one of the most common presentations in Surgical OPD with malignancy reported as nearly 25% of all cancer in women. The conventional triple test was replaced with Modified Triple Test that included clinical examination, ultrasonography and Trucut biopsy. The objective of the study was to evaluate the efficacy of Modified triple test for the assessment of palpable breast lumps. Aim: The aim of this study was to assess the result of the modified triple test for palpable breast masses that aim at adding the value of ultrasound and core needle biopsy as compared to the original triple test. Material and Methods: Total of 100 patients presenting with breast lump were assessed for Modified triple test. The patients were subjected to detailed clinical history and examination, Ultrasonography and trucut biopsy. The results were correlated with histopathology as the reference standard. The results of Triple test were compared with those of Modified Triple test. Results: A total of 100 cases with the mean age at presentation as 49.6 ? 2.11 years were included in the study.56% patients presented with right sided lesion. Upper outer quadrant was the most commonly involved site (42%).77% presented with painless lump. The most common lump size observed was 4 - 6cm (59%) with 51% having a hard lump, 59% showing restricted mobility. Ultrasound was statistically insignificant whereas Trucut biopsy showed significant correlation when compared to histopathology. The overall sensitivity, specificity, positive predictive and negative predictive value of Modified Triple test as compared to Triple test was 100%, 98%, 97.7%, and 100% each respectively. Conclusion: Modified triple test was observed to be comparable with the triple test in accurately diagnosing clinically palpable breast lumps. It is a reliable and reproducible modality.
Keywords: Modified triple test, breast lump, mammography, FNAC, Trucut biopsy
Edition: Volume 14 Issue 3, March 2025
Pages: 1517 - 1520
DOI: https://www.doi.org/10.21275/MR25327111439
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