Biopsia por ABBI en lesiones no palpables tipo distorsión menores de 2 cm

Abstract

AimTo describe the advantages of the utilization of ABBI procedure in non-palpable distortion-type lesions, provided that they are smaller than 2 cm Material and methodsA digital stereotactic table coupled to an ABBI device is used with the patient in decubitus prone position. The procedure is performed in an ambulatory setting with local anesthesia using a 20 mm cannula in the presence of a surgeon, radiologist and nurse. After completion, the specimen undergoes an X-ray to determine the correct extirpation of the lesion. ResultsSince February 1998, we have performed 90 biopsies of distortions using the ABBI procedure. 41 cases of carcinoma have been obtained versus 49 benign lesions. All the carcinomas have undergone surgical intervention.. In 85 cases, the sample was satisfactory, while in 5 cases it was insufficient and required further surgical intervention. DiscussionThe distortions must be excised completely in order to be correctly diagnosed. The use of ABBI technology allows for complete excision in an ambulatory setting in lesions smaller than 2 cm, which is the the size of the largest cannula at our disposal. It avoids the need for further surgical intervention in benign cases, with minimal complications and excellent aesthetic results.