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August 5, 1974


Author Affiliations

Massachusetts General Hospital Boston

JAMA. 1974;229(6):640. doi:10.1001/jama.1974.03230440016015

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To the Editor.—  The comments of Drs. Rosemond and Maier on the efficacy of mammography (228:874, 1974) permit an additional point to be made.It is general policy at our institution that the radiologist examine the patient as well as interpret the mammograms. We have found that the utilization of both mammography and physical examination by the radiologist has increased the diagnostic accuracy over use of physical examination or mammography alone.We would agree that a biopsy should be performed on a dominant mass even if it cannot be appreciated on the mammogram, although this problem has rarely arisen in our experience. During the past year, we have had 15 patients referred to us for confirmation of clinically benign lesions, in whom radiographic evidence of malignancy was confirmed by biopsy. Mammography has permitted the discovery of 17 occult carcinomas over the same period of time.The radiologist's physical examination is