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Published on: August 30, 2013
Mammographic assessment of the symptomatic nonsuspicious breast
M J Kerin1, D M O'Hanlon, A A Khalid
1Department of Surgery, University College Hospital, Galway, Ireland.
Background:
Evidence from breast screening programs demonstrates the value of mammography in the detection of asymptomatic breast cancer.
Methods:
This study prospectively assessed the role of mammography in the management of 585 patients presenting to a breast clinic, over a 1-year period, with symptomatic breast disease and without clinical or cytological evidence of malignancy.
Results:
Eighteen (3%) of these patients had breast cancer. Eight patients presenting with nonspecific nodularity had carcinoma. All patients had relatively early disease.
Conclusions:
This study suggests that patients with symptomatic disease presenting to a breast clinic represent a group at higher risk of malignancy than screened asymptomatic patients, and that symptomatic women over 40 years of age should have bilateral mammography before being discharged from the breast clinic.
