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Should surgeons as well as radiologists report mammograms in symptomatic patients?

Authors
  • Vidya, R
  • Dixon, J M
Type
Published Article
Journal
Breast (Edinburgh, Scotland)
Publication Date
Apr 01, 2001
Volume
10
Issue
2
Pages
140–142
Identifiers
PMID: 14965574
Source
Medline
License
Unknown

Abstract

This study compared the accuracy of interpretation by surgeons and radiologists of 1053 women who had two view mammography and a histological or cytological diagnosis of benign or malignant breast disease. Patients with large or locally advanced breast cancers who had definite clinical findings where radiology was not required to make a diagnosis were excluded. The sensitivity for radiologists was non-significantly greater (81%) than surgeons (78%), but specificity and positive predictive value was identical in the two groups of readers. Combining the reports of the radiologists and surgeons increased sensitivity to 85.4% which is a significant increase in the sensitivity of the radiologist alone, P =0.02. This study indicates that symptomatic mammograms should be read by surgeons as well as radiologists.

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