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Related Experiment Videos

Mammography: a surgeon's experience.

J E Devitt

    Canadian Medical Association Journal
    |June 9, 1979
    PubMed
    Summary
    This summary is machine-generated.

    Mammography rarely aided breast cancer diagnosis in clinical consultations, often missing cancers or falsely suggesting malignancy. Most breast issues are diagnosable without this imaging technique.

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    Area of Science:

    • Oncology
    • Radiology
    • Clinical Medicine

    Background:

    • Mammography is often advocated by radiologists, but its clinical utility for patients with breast complaints is less understood.
    • Clinicians frequently manage women presenting with breast problems, necessitating evaluation of diagnostic tools from their perspective.

    Purpose of the Study:

    • To evaluate the actual value of mammography in managing patients with breast problems.
    • To assess the diagnostic accuracy and impact of mammography in a real-world clinical setting.

    Main Methods:

    • Retrospective review of 1026 breast consultations.
    • Analysis of mammography use in 95 patients within the consultation cohort, including cases with confirmed cancer (129 patients).

    Main Results:

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    • Mammography hastened diagnosis in only one case and was suspicious in another prior to presentation.
    • The procedure missed six cancers and provided false positives in 28 women.
    • In seven patients, it identified clinically obvious cancers, but had previously yielded negative results in one instance.
    • In 52 patients, mammography confirmed clinically evident benign conditions.

    Conclusions:

    • Mammography's role in diagnosing breast problems is limited, with a significant rate of missed cancers and false positives.
    • The morbidity associated with mammography may be underestimated.
    • Most breast conditions can be effectively diagnosed through clinical evaluation without mammography.