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Our rate of negative axillary lymph nodes was 75.93%, above the BCSC Benchmarks for non-palpable findings (68.2%) and BCSC in palpable findings (56.5%).
The sensitivity of our diagnostic mammograms in 2013 was 90.22%, above all the standard comparisons: the BIRADS recommendation for non-palpable findings (80% or higher), BIRADS for palpable findings (85% or higher), BCSC Benchmarks for non-palpable findings (83.1%) and BCSC in palpable findings (87.8%).
The specificity of our diagnostic mammograms in 2013 was 92.31%, adequate for all the standard comparisons: BIRADS recommendations for non-palpable findings (80 95%), BIRADS recommendations for palpable findings (83 95%), BCSC Benchmarks for non-palpable findings (92.2%) and BCSC for palpable findings (93.2%).
Our positive predictive value 3 (biopsy performed or PPV3) was 60%, which was above all the standard comparisons: BCSC Benchmarks for non-palpable findings (36%), BCSC for palpable findings (49%), BIRADS for non-palpable findings (20 45%) and BIRADS for palpable findings (30 55%).
Our positive predictive value 2 (recommendation for tissue diagnosis or PPV2) was 43%, which is exactly the same value as in BCSC for palpable findings (43%), above the value of BCSC Benchmarks for non-palpable findings (31%), and near the value requested by BIRADS for non-palpable findings (15 40%) and by BIRADS for palpable findings (25 50%).
The minimum cancer rate (invasive cancer with 1.0 cm or less or DCIS, ductal carcinoma in situ) was 36%, near the BCSC Benchmarks for non-palpable findings (39%) and above the BCSC for palpable findings (15%).
Similar(47)
The standard imaging evaluation of a palpable axillary lump for females over the age of 30 years in most of the USA typically includes a mammogram with a "skin marker" overlying the palpable finding followed by a focussed ultrasound of the area of concern.
Nevertheless, our institution recall rate value (for both palpable and non-palpable findings) is smaller than the recommended BIRADS (for either palpable and non-palpable findings) standards.
The sound system had an off night — a strange sonic spotlight kept falling on the bassoon — but the orchestra showed palpable involvement, finding a forward-hurtling momentum in Mahler's expansive forms.
The likelihood of Baker's proposals becoming policy under the current government must be next to non-existent, but this doesn't appear to interfere with his palpable delight at finding himself back in the political spotlight.
The classic physical exam finding of a palpable "olive" and the laboratory findings of hypochloremic hypokalemic metabolic alkalosis are not commonly seen [275 279].
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com