Mojgan NabatzadeShahid Beheshti University of Medical Sciences, Iran
Title: Evaluation of concordance of clinical assessment, mammography and sonography as compared with pathology in assessment of benign and malignant breast lesions and determining their cost-effectiveness
Background: In order to evaluation the diagnostic capabilities of various methods of breast cancer, as triple assessment, including clinical evaluation and the use of noninvasive methods including mammography and ultrasound compared with the pathological assessment, as golden diagnostic technique, it was expected that the use of non-invasive imaging techniques would be suitable the earliest and best management of patient. We attempted to evaluate the current status of mammography and sonography reports along with clinical diagnosis and their agreement with the definite diagnosis of breast lesions by pathology assessment.
Conclusion: The use of biopsy as a gold standard is still considered for distinguishing between benign from malignant breast lesions and also mammography and sonography are not desirable alternatives for differentiating benign from malignant breast lesions. As a conclusion we suggest that every radiologist willing to report mammography should be additionally trained in this special subject in order to reduce false positive and false negative reports.
Beside, all breast surgeons should have been fully trained in breast ultrasound exam so they can exam directly their patients and assess accuracy of radiologist report and check it's concordance with physical exam. These two simple educational steps can reduce the majority of mismanagement of patient due to false radiology reports and save the patients and clinicians time as well.
To be updated soon.