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KMID : 0352419940130020219
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Keimyung Medical Journal
1994 Volume.13 No. 2 p.219 ~ p.226
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Various symotoms of breast disease and the role of palpation, mammography and ultrasonography. in diagnosis of breast disease
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Abstract
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The breast cancer is a leading cause of death in American, European and most of Cocacian women. The breast cancer in Korean women is ranked at the 3rd of most common cancers, and it is increasing as a rate of 1% per year. This study analysed
breast
related symptoms, diagnostic methods, pathologic diagnosis of 527 patients, who visited the outpatient clinic of Department of Surgery, St. Benedict Hospital between February of 1993 and January of 1994. The focus of this study is the
interrelationship
of diagnostic probability by palpation, mammography, ultrasonography. The mammography was taken in 384 patients, ultrasonography in 256 patients and mammography with ultrasonography in 240 patients of 527 patients. In 69 patients of 527 patients,
diagnosis was confirmed pathologically by Tru-Cut needle biopsy or surgical excision. There were 22 cases(31.9%) of fibrocystic disase, 22 cases of fibroadenoma(31.9%) and followed by 15 cases(21.7%) of ductal carcinoma. The sensitivity and
specificity
of palpation, mammography and ultrasonography was obtained in 68 patients confirmed by pathologic examination. The mammography is the most useful in diagnosis of breast cancer in the basis of the hightest sensitivity and specificity. But there
was
no
statistically significant difference in the diagnostic accuracy among palpation, mammography and ultrasonography. The proper combination of these three diagnostic methods will arrive at more accurate diagnosis of breast disease.
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KEYWORD
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