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Advanced Breast Biopsy Instrumentation Device

Percentages of Lesion and Surrounding Tissue Removed

Ralph L. Smathers1

1 Good Samaritan Breast Care Center, Radiological Associates Medical Group, 2410 Samaritan Dr., Ste. 101, San Jose, CA 95124.



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Fig. 1. — Radiograph of Advanced Breast Biopsy Instrumentation (ABBI) device (United States Surgical, Norwalk, CT) shows cylindric shape and central T wire marker. Radiopaque cutting-knife cylinder slides within outer radiolucent plastic cylinder. Deployed T wire marker holds tissue in place during biopsy by cutting-knife cylinder. Note radiopaque snare wire at end of outer radiolucent plastic cylinder.

 


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Fig. 2. — Specimen radiograph containing tip of T wire marker and cancerous lesion. Lesion is dense, contains microcalcifications, and extends to both sides of specimen. Histology found carcinoma at surgical margins.

 


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Fig. 3A. —Diagrams of specimen obtained with Advanced Breast Biopsy Instrumentation (ABBI) device (United States Surgical, Norwalk, CT). Three-dimensional (A) and cross-sectional (B) diagrams of cylindric ABBI specimen with diameter of 2 cm and length of 5 cm. This specimen contains 1-cm-diameter spherical lesion that is perfectly centered and resected. Cross-sectional diagram shows clear central circular lesion area and crosshatched surrounding nonlesion area. Area of lesion is 0.785 cm2 and area of whole rectangle is 10 cm2. Nonlesion area or "dead space" is 9.215 cm2 and therefore occupies 92.15% of total area resected.

 


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Fig. 3B. —Diagrams of specimen obtained with Advanced Breast Biopsy Instrumentation (ABBI) device (United States Surgical, Norwalk, CT). Three-dimensional (A) and cross-sectional (B) diagrams of cylindric ABBI specimen with diameter of 2 cm and length of 5 cm. This specimen contains 1-cm-diameter spherical lesion that is perfectly centered and resected. Cross-sectional diagram shows clear central circular lesion area and crosshatched surrounding nonlesion area. Area of lesion is 0.785 cm2 and area of whole rectangle is 10 cm2. Nonlesion area or "dead space" is 9.215 cm2 and therefore occupies 92.15% of total area resected.

 

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