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Breast. 2001 Apr;10(2):140-2. doi: 10.1054/brst.2000.0216.

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

Breast (Edinburgh, Scotland)

R Vidya, J M Dixon

Affiliations

  1. Edinburgh Breast Unit, Western General Hospital, Edinburgh, UK.

PMID: 14965574 DOI: 10.1054/brst.2000.0216

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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