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  • Title: Assessment of a scoring scheme for the preoperative diagnosis of breast lumps.
    Author: Smallwood J, Khong Y, Boyd A, Guyer P, Herbert A, Cooke T, Taylor I.
    Journal: Ann R Coll Surg Engl; 1984 Jul; 66(4):267-9. PubMed ID: 6742740.
    Abstract:
    The value and accuracy of a scoring system applied to clinical examination, aspiration cytology and mammography has been assessed in the diagnosis of 224 consecutive 'new' patients attending a breast clinic with a breast lump. In 72 of 99 patients with breast cancer (80%) the scores were high enough to allow definitive surgery without formal histology; all were subsequently confirmed as breast carcinomas. Cytology proved the most accurate investigation with no false positives and a correct diagnosis in 146 of 148 adequate specimens (98.6%). This system reduced the frozen section rate by 74% and allowed for a more appropriate counselling of patients prior to mastectomy.
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