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Abstract
this procedure should be applied as a routine for all outpatients with breast lumps.
Combination of physical examination, ultrasonography and fine-needle aspiration cytology (modified triple test) revealed (100%) accuracy in concordant cases and (94%) in non-concordant cases, with (100%) sensitivity and specificity in concordant cases, while they were (100%) and (95%) in non-concordant cases respectively.
In non-concordant patients, fine-needle aspiration cytology was the most predictive and accurate element of the modified triple test.
So, the use of the modified triple test for the diagnosis of palpable breast lesions yields high diagnostic accuracy without the need for routine open biopsy.
Our recommendation is avoidance of confirmatory open biopsy when the modified triple test is concordant or when the fine-needle aspiration cytology and another element of the modified triple test (physical