A Prospective Study of Use of Modified Triple Test (MTT) in Diagnosing Breast Mass

Abstract

Breast cancer is one of the most common cause of cancer related mortality and morbidity worldwide. A palpable breast mass in young women is a common cause of anxiety. It is indeed a frightful experience for the patient to directly undergo an invasive procedure like biopsy of breast mass. Hence the need for such diagnostic tool which is noninvasive or minimally invasive, quick, reliable, and also cost effective. Hence this study was undertaken to study the use of modified triple test (MTT) in the diagnosis of palpable breast mass. Methodology- The study was a prospective study done in the department of General Surgery in a tertiary care teaching hospital in Central India from January 2020 to December 2020. A total of 150 patients who presented with palpable breast mass were included. All the patients were investigated at first by sonomammography then FNAC. Either core biopsy or excisional biopsy of breast mass was done in all the cases. Findings were recorded and data analysis was done. Breast mass histopathology (HPE) report was considered to be gold standard and all the results were compared with HPE of the same breast mass. Observation and results: Out of total 150 patients studied, 148 were females and 2 were males. The sensitivity, specificity and accuracy of MTT is comparable with histopathology of the same breast mass. Conclusion: MTT is alone a reliable investigation for diagnosing palpable breast mass and biopsy of breast mass should be reserved only for doubtful cases.