Comparative study of mammmary exploration methods

The diagnostic value of physical examination, thermography and mastography was assessed in 1,313 women attending the Breast Cancer Detection Service of the Hospital de Oncología, C.M.N. The evaluation of results was based upon the estimation of sensitivity, specificity and predictive value of each examination, as well as, the combined sequential programme. Mastography showed the highest sensitivity with good specificity, therefore making it possible to use mastography as the only examination procedure in early detection programmes for breast cancer. Thermography was less sensitive so that it is not recommended as basic examination technique, although it can be included in multiple examination programmes or for the follow-up of high risk cases. Physical examination by a physician is essential for the integral diagnosis of breast pathology. The best results are obtained by sequential combination of the three examination techniques.