{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,5,22]],"date-time":"2023-05-22T17:12:19Z","timestamp":1684775539955},"reference-count":16,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2011,4,20]],"date-time":"2011-04-20T00:00:00Z","timestamp":1303257600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2011,5,27]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Most women over the age of 35 years referred to a breast clinic have single-quadrant symptoms and undergo mammography (MMG) as part of the triple assessment of these. A proportion of these women has no abnormality clinically or on ultrasonography (P1 U1). The aim of this study was to assess the additional contribution of MMG in diagnosing cancer in patients with P1 U1 findings and to consider whether it is safe to be more selective when requesting MMG.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Over a 2-year interval the clinical and radiological details of women whose single-quadrant breast symptoms were assessed as P1 U1, and who were then sent for MMG, were entered into a database. The results of further investigations initiated by a non-benign MMG report were recorded, and the patients reviewed to establish how many cancers were diagnosed purely by MMG and whether these were located at the site of symptoms.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>There were 454 women in the study group, representing 17\u00b75 per cent of all new referrals. Twenty-one patients (4\u00b76 per cent) were recalled following a non-benign MMG result, ten of whom required image-guided biopsy. Cancer was diagnosed in three patients (0\u00b77 per cent of the study group), located in the contralateral breast in two women and a different ipsilateral quadrant in one.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>MMG in this subset of patients did not increase the cancer detection rate at the site of symptoms and therefore constituted screening. The rationale for requesting MMG in these patients, and indeed for applying the triple assessment rule, should be reconsidered.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1002\/bjs.7490","type":"journal-article","created":{"date-parts":[[2011,4,20]],"date-time":"2011-04-20T17:53:47Z","timestamp":1303322027000},"page":"951-955","source":"Crossref","is-referenced-by-count":2,"title":["Role of mammography in the triple assessment of single-quadrant breast symptoms"],"prefix":"10.1093","volume":"98","author":[{"given":"J","family":"Donnelly","sequence":"first","affiliation":[{"name":"Department of Surgery, Hereford County Hospital, Union Walk, Hereford HR1 2ER, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Iqbal","sequence":"additional","affiliation":[{"name":"Department of Surgery, Hereford County Hospital, Union Walk, Hereford HR1 2ER, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Devaraj","sequence":"additional","affiliation":[{"name":"Department of Surgery, Hereford County Hospital, Union Walk, Hereford HR1 2ER, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P J","family":"Marriott","sequence":"additional","affiliation":[{"name":"Department of Surgery, Hereford County Hospital, Union Walk, Hereford HR1 2ER, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A P","family":"Corder","sequence":"additional","affiliation":[{"name":"Department of Surgery, Hereford County Hospital, Union Walk, Hereford HR1 2ER, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2011,4,20]]},"reference":[{"key":"2021070910482816000_bib1","doi-asserted-by":"crossref","first-page":"1139","DOI":"10.1136\/bmj.2.6145.1139","article-title":"Clinical examination, xeromammography, and fine-needle aspiration cytology in diagnosis of breast tumours","volume":"2","author":"Thomas","year":"1978","journal-title":"Br Med J"},{"key":"2021070910482816000_bib2","doi-asserted-by":"crossref","first-page":"490","DOI":"10.1016\/S0009-9260(98)80167-0","article-title":"The accuracy of breast ultrasound in the evaluation of clinically benign discrete symptomatic breast lumps","volume":"53","author":"Lister","year":"1998","journal-title":"Clin Radiol"},{"key":"2021070910482816000_bib3","first-page":"1","article-title":"Guidelines for surgeons in the management of symptomatic breast disease in the United Kingdom","volume":"21","author":"The Breast Surgeons Group of the British Association of Surgical Oncology","year":"1995","journal-title":"Eur J Surg Oncol"},{"key":"2021070910482816000_bib4","doi-asserted-by":"crossref","first-page":"439","DOI":"10.1111\/j.1742-1241.2009.02257.x","article-title":"Breast lump detection: who is more accurate, patients or their GPs?","volume":"64","author":"Donnelly","year":"2010","journal-title":"Int J Clin Pract"},{"key":"2021070910482816000_bib5","volume-title":"Familial Breast Cancer","author":"National Institute for Health and Clinical Excellence"},{"key":"2021070910482816000_bib6","doi-asserted-by":"crossref","first-page":"551","DOI":"10.1016\/j.ejso.2007.01.024","article-title":"The results of a structured diagnostic pathway designed to minimise the chance of breast cancer misdiagnosis","volume":"33","author":"Pinkney","year":"2007","journal-title":"Eur J Surg Oncol"},{"key":"2021070910482816000_bib7","doi-asserted-by":"crossref","first-page":"1215","DOI":"10.1016\/j.ejso.2009.07.046","article-title":"What is current practice when requesting mammography in symptomatic patients?","volume":"35","author":"Marriott","year":"2009","journal-title":"Eur J Surg Oncol"},{"key":"2021070910482816000_bib8","author":"NHS The Information Centre","year":"2011","journal-title":"Breast Screening Programme, England, 2009\u201310"},{"key":"2021070910482816000_bib9","doi-asserted-by":"crossref","first-page":"593","DOI":"10.1002\/bjs.1800710809","article-title":"Fine needle aspiration cytology, in relationships to clinical examination and mammography in the diagnosis of a solid breast mass","volume":"71","author":"Dixon","year":"1984","journal-title":"Br J Surg"},{"key":"2021070910482816000_bib10","first-page":"335","article-title":"Diagnostic efficacy of the clinical\u2013radiological\u2013cytological triad in solid breast lumps: results of a second prospective study on 631 patients","volume":"13","author":"Di Pietro","year":"1987","journal-title":"Eur J Surg Oncol"},{"key":"2021070910482816000_bib11","doi-asserted-by":"crossref","first-page":"835","DOI":"10.1002\/bjs.1800760825","article-title":"Clinical, radiological and cytological diagnosis of breast cancer in young women","volume":"76","author":"Ashley","year":"1989","journal-title":"Br J Surg"},{"key":"2021070910482816000_bib12","first-page":"637","article-title":"The value of ultrasound in the evaluation of palpable breast tumours: a prospective study of 400 cases","volume":"20","author":"Perre","year":"1994","journal-title":"Eur J Surg Oncol"},{"key":"2021070910482816000_bib13","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1148\/radiology.196.1.7784555","article-title":"Solid breast nodules: use of sonography to distinguish between benign and malignant lesions","volume":"196","author":"Stavros","year":"1995","journal-title":"Radiology"},{"key":"2021070910482816000_bib14","author":"National Institute for Health and Clinical Excellence","year":"2009","journal-title":"Early and Locally Advanced Breast Cancer. Diagnosis and Treatment. NICE Clinical Guideline 80"},{"key":"2021070910482816000_bib15","article-title":"Association of Breast Surgery at BASO 2009","volume-title":"EJSO","author":"Surgical Guidelines for the Management of Breast Cancer"},{"key":"2021070910482816000_bib16","volume-title":"Making the Best Use of Clinical Radiology Services. Referral Guidelines","author":"Royal College of Radiologists","year":"2007","edition":"6th"}],"container-title":["British Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fbjs.7490","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/academic.oup.com\/bjs\/article-pdf\/98\/7\/951\/36661274\/bjs7490.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/bjs\/article-pdf\/98\/7\/951\/36661274\/bjs7490.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,7,9]],"date-time":"2021-07-09T20:16:02Z","timestamp":1625861762000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/bjs\/article\/98\/7\/951\/6142170"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,4,20]]},"references-count":16,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2011,4,20]]},"published-print":{"date-parts":[[2011,5,27]]}},"URL":"https:\/\/doi.org\/10.1002\/bjs.7490","relation":{},"ISSN":["0007-1323","1365-2168"],"issn-type":[{"value":"0007-1323","type":"print"},{"value":"1365-2168","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2011,7]]},"published":{"date-parts":[[2011,4,20]]}}}