Triple Assessment

Question 1

What makes up the triple assessment?

Answer 1

History/examination
Imaging (mammogram + ultrasound)
Histology

Question 2

When is a triple assessment used?

Answer 2

When patient has signs/symptoms that meet the breast cancer ‘2 week wait’ referral criteria

Question 3

What imaging is used in a triple assessment?

Answer 3

Mammography

• compression view
• oblique + craniocaudal views
• detection of mass lesions or microcalicifications

Ultrasound
- more useful <35 years women and men

Question 4

What comes under histology in a triple assessment?

Answer 4

Biopsy required of any suspicious mass or lesion

Question 5

How is a triple assessment scored?

Answer 5

P = examination
M = mammogram 
U = ultrasound
B = histology 

1 = normal 
2 = benign
3 = uncertain/unlikely benign 
4 = suspicious of malignancy 
5 = malignant