유방 종물을 주소로 유방 검진 센터를 방문한 환자에서 검사 및 Triple Test의 유용성
Use of the Triple Test at the Breast Screening Center for Patients with Breast Mass
진석인, 한세환, 배병노, 김기환, 김홍주, 김영덕, 김홍용,
소속 상세정보
진석인 ( Jin Suk-In )
인제대학교 상계백병원 외과학교실
한세환 ( Han Se-Hwan )
인제대학교 의과대학 상계백병원 외과학교실
배병노 ( Bae Byung-Noe )
인제대학교 의과대학 상계백병원 외과학교실
김기환 ( Kim Ki-Whan )
인제대학교 의과대학 상계백병원 외과학교실
김홍주 ( Kim Hong-Joo )
인제대학교 의과대학 상계백병원 외과학교실
김영덕 ( Kim Young-Duck )
인제대학교 의과대학 상계백병원 외과학교실
김홍용 ( Kim Hong-Yong )
인제대학교 상계백병원 외과학교실
KMID : 0371320010610010021
Abstract
Purpose
Breast mass - the most common occurences in the breast must be managed by a method that provides both the best medical and cosmetic results.
Methods
Two hundred seventy-eight patients evaluated and managed for breast mass at our center between January 1998 and December 1999 were analysed. In this study, we compare the results of the triple test score (TTS; sum of physical examination,
mammography,
and fine needle aspiration cytology) with those from each separate diagnostic test according to a standard formula incorporating sensitivity, specificity, positive predictive value, and negative predictive value. The TTS was modified to
substitute
sonography for mammography-TTSs. The TTS was also compared to the TTS-2 that double weighted the results of fine needle aspiration (FNA), but was otherwise the same as the TTS.
Results
The sensitivity and specificity of breast sonography were 90% and 84% whereas those of mammography were 84% and 73%, respectively. The sensitivity, specificity, positive predictive value and negative predictive value of the TTSm (triple test
score-mammography) were 99%, 97%, 99% and 97% respectively. The scores of the TTSm-2 were 99%, 100%, 100% and 97%. And those of the TTSs were 100%, 100%, 100% and 100%.
Conclusion
The TTS was more accurate than each of the elements separately in evaluating breast masses. The TTSs was also more effective than the TTSm. The TTS-2 was more useful than the TTS, being less likely to miss malig-nancy due to the high accuracy of
FNA.
키워드
유방 종물; 진단; 이학적 검사; 유방 촬영술; 유방 초음파 검사; Breast mass; Diagosis; Triple test score; Physical examination; Mammography; Breast sonography;
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