INTRODUCTION: The commonest clinical presentation in majority of breast pathology is a lump. A definite diagnosis of breast lump is very important for the surgeon to decide on the final course of treatment and also saves the @entity1 from unnecessary physical, emotional and @entity130 if there is a definite preoperative diagnosis of benign lesion. The present study was done to evaluate the effectiveness and relevance of "TRIPLE TEST"in diagnosis of @entity189 breast in rural labour class population. MATERIALS AND METHODS: The present study was a prospective study conducted on @entity1 over 35 years of age having palpable breast lumps presenting in the out @entity1 department of general surgery, ESI Hospital Basaidarapur New Delhi, India. The duration of study was from May 2007 to June 2009 and a total of 100 cases were studied. Each @entity1 was subjected to a detailed history, clinical breast examination ,diagnostic mammography and FNAC. In this study, the results of each modality was divided in three groups: benign, suspicious and malignant. The sensitivity, specificity, positive predictive value, negative predictive value and diagnostic accuracy of each test was calculated individually and as combined. RESULT: Out of 100 @entity1 enrolled in this study, 60 cases were benign and 40 cases were of malignant @entity1558 . The age of @entity1 with @entity189 breast in the series varied from 35 years to 70 years. The highest incidence of @entity5 noted was 30% in 41-50 years age group (4(th) decade) followed by 27.5% in 51-60 years age group (5(th) decade). The sensitivity of clinical examination was found to be 75%, specificity was 83.3%, positive predictive value ( @entity2286 ) of 75% and diagnostic accuracy of 80%. The sensitivity, specificity, positive predictive value and diagnostic accuracy of mammography was calculated and was found to be 94.9% , 90% , 86% and 92% respectively. The sensitivity, specificity, positive predictive value and diagnostic accuracy of FNAC was 94.7%, 98.3%, 97.3% and 96.6% respectively. Out of 100 cases triple test was concordant (all three test either benign or malignant) in 80 cases, all the benign cases detected by triple test were benign on final biopsy i.e. 100% specificity and 100% negative predictive value. CONCLUSION: TTS is an accurate and least invasive diagnostic test based on which definitive treatment can be initiated.

Triple test in XXXX breast.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity5 :: ('MESH:D009369', 'Disease') :: ['malignancy'] @entity2286 :: ('12211', 'Species') :: ['PPV'] @entity189 :: ('MESH:D002277', 'Disease') :: ['carcinoma'] @entity1558 :: ('MESH:D001941', 'Disease') :: ['breast disease'] @entity130 :: ('MESH:D014947', 'Disease') :: ['psychological trauma']
@entity189 :: (MESH:D002277,Disease) :: ['carcinoma']
