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The Role of Clinical Examination in the Diagnosis of Breast Cancer Patients
Hassan Moaiery 1, Mojgan Nabatzade, Esmaeil Akbari, Boshra Zareei, Aziz Rasouli
1- Kurdistan University of Medical Sciences, Sanandaj, Iran , moaiery@gmail.com
Abstract:   (112 Views)
Background and Aim: Breast cancer is the most common malignancy among women in the world that can be reduced by the use of appropriate and timely diagnostic methods in the early stages of cancer.
Materials and Methods: In this cross-sectional study, 287 women with breast mass Referred to the Breast Cancer Research Center affiliated to Shahid Beheshti University of Medical Sciences, Tehran (Iran), complaints were evaluated in terms of demographic data, clinical manifestations and medical records. Clinical examinations were carried out by qualified physicians. Finally, the information extracted from the clinical examinations was matched with the pathologic outcomes.
Results: In this study, 287 women with breast cancer aged 22-84 participated in the study. Mean and standard deviation (SD) of participants’ age were 47.71±11.62. 64 subjects (22.30%) were assigned to the benign group and 223 (77.70%) to the malignant group according to the pathology results. 37 subjects (12.89%) were assigned to the benign and 250 (87.11%) to the malignant group based on the Clinical Breast Examination (CBE). Sensitivity and specificity of CBE were 98.21% and 51.56%. Also, 87.6% positive predictive value (PPV) and 89.19% negative predictive value (NPV) were recorded. Younger women are less likely to have malignant breast mass compared to older women. Moreover, a significant difference was found between unemployed and employed women as well as between women who were not in menopause and those in menopause.
Conclusion: The results of the present study showed that clinical examination by skilled physicians with high sensitivity can still be an important and reliable method in diagnosing breast cancer, especially in cases where the patient is breastfeeding for more than 24 months to 72 months, during menopause or Have more than 3 pregnancies.
Keywords: Breast Cancer, Clinical Breast Examination, Sensitivity, Specificity
     
Type of Study: Applicable | Subject: Medicine - General Surgery
Received: 2019/12/28 | Accepted: 2020/10/3
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Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
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مجله علمی دانشگاه علوم پزشکی کردستان Scientific Journal of Kurdistan University of Medical Sciences
مجله علمی دانشگاه علوم پزشکی کردستان Scientific Journal of Kurdistan University of Medical Sciences
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