title: Detection of breast carcinoma in a gynecologic practice.
abstract: The approach to detecting breast carcinoma in gynecologic practices remains controversial. Fourty-five breast carcinomas were detected in 8757 patients, using a combination of physical examination, mammography, thermography, and fine-needle aspiration. The sensitivity of each modality is as follows: physical examination, 62.2%; mammography, 63.2%; thermography, 75.6%; and fine-needle aspiration biopsy, 93.7%. Review of the current literature reveals a lack of agreement concerning the indications and the recommended frequency of use of each type of examination. Because of inaccuracies in each technique, a multimodal approach is indicated for the earliest detection of breast carcinoma.
mesh_terms: D000328:Adult; D000368:Aged; D001707:Biopsy, Needle; D001943:Breast Neoplasms / Q000175:diagnosis*; D003937:Diagnosis, Differential; D005188:False Negative Reactions; D005260:Female; D006801:Humans; D008327:Mammography; D008875:Middle Aged; D010173:Palpation; D010808:Physical Examination; D013817:Thermography