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Initial experience with the advanced breast biopsy instrumentation device.

M Rebner¹, R Chesbrough, N Gregory

¹William Beaumont Hospital, Royal Oak, MI 48073, USA.

AJR. American Journal of Roentgenology

|July 9, 1999

Summary

The Advanced Breast Biopsy Instrumentation (ABBI) procedure for nonpalpable breast lesions had a high rate of complications and technical failures. Alternative methods like stereotactic or sonographically guided needle biopsy are recommended for tissue diagnosis.

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Area of Science:

Radiology
Surgical Oncology
Pathology

Background:

The Advanced Breast Biopsy Instrumentation (ABBI) device offers percutaneous excision for nonpalpable breast lesions.
Evaluating new minimally invasive techniques is crucial for improving breast cancer diagnosis and treatment.

Purpose of the Study:

To assess the initial clinical experience with the ABBI device.
To determine the technical success rate, complication profile, and margin status for malignancies excised by ABBI.

Main Methods:

Eighty-nine patients underwent the ABBI procedure between May 1997 and March 1998.
Preprocedure imaging included mammography and sonography; specimen radiography and pathologic analysis were performed for all excised lesions.
Key parameters analyzed were technical success, complications, lesion characteristics, and margin status for malignant tumors.

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Main Results:

Eighteen ABBI procedures (20.2%) were unsuccessful or converted to core biopsy.
Nineteen complications occurred in 15 patients, with 10 requiring further treatment.
Of 11 malignant tumors, only 4 achieved negative margins; 7 had positive margins.

Conclusions:

The ABBI procedure demonstrated a high incidence of complications and technical failures.
ABBI did not reliably achieve cancer-free margins for malignant breast lesions.
Stereotactic or sonographically guided needle biopsy is a preferred alternative for tissue diagnosis of nonpalpable breast lesions.