One hundred consecutive advanced breast biopsy instrumentation procedures:Complications, costs, and outcome

Citation
M. Bloomston et al., One hundred consecutive advanced breast biopsy instrumentation procedures:Complications, costs, and outcome, ANN SURG O, 6(2), 1999, pp. 195-199
Citations number
16
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Oncology
Journal title
ANNALS OF SURGICAL ONCOLOGY
ISSN journal
1068-9265 → ACNP
Volume
6
Issue
2
Year of publication
1999
Pages
195 - 199
Database
ISI
SICI code
1068-9265(199903)6:2<195:OHCABB>2.0.ZU;2-8
Abstract
Background: Needle localization and excision have been the preferred techni ques for treating nonpalpable mammographic abnormalities. Recently, a less invasive approach, using the Advanced Breast Biopsy Instrumentation (ABBI) system, was introduced. This study was undertaken to determine the feasibil ity, utility, and cost of this new alternative approach. Methods: Between April 1996 and May 1997, 100 consecutive women underwent e xcisional breast biopsies using the ABBI system. Demographic information, m ammographic findings, pathological findings, hospital/professional fees, co mplications, and subsequent interventions were documented. Results: Excisional biopsies using the ABBI system were successful for 99 w omen (average age, 62 years; range, 34-87 years). Of the 99 lesions removed with the ABBI system, 27 were microcalcifications, 60 were suspicious soli d nodules, and 12 were nodules with microcalcifications. The ABBI system wa s used in an outpatient surgical setting, with only one patient requiring s edation (because of anxiety). Cancer was seen in the biopsy specimens for 1 8 patients, seven of whom (35%) exhibited no residual tumor at the time of definitive treatment. Postoperative hematomas occurred in two patients; one hematoma required surgical drainage. One missed cancer was detected in fol low-up mammograms 6 months after biopsy. The total average procedural cost was $3406.44 +/- 486.63. Conclusions: Excisional breast biopsy using the ABBI system is an effective diagnostic method. It has a low complication rate, and its cost is compara ble to that of classical needle localization.