World Journal of Surgery

, Volume 29, Issue 4, pp 495–499

Mammotome: Less Invasive than ABBI with Similar Accuracy for Early Breast Cancer Detection

  • Walter P. Weber
  • Rosanna Zanetti
  • Igor Langer
  • Sophie Dellas
  • Markus Zuber
  • Holger Moch
  • Eugenia Remmel
  • Daniel Oertli
  • Edward Wight
  • Walter R. Marti
Original Scientific Report

DOI: 10.1007/s00268-004-7635-6

Cite this article as:
Weber, W.P., Zanetti, R., Langer, I. et al. World J. Surg. (2005) 29: 495. doi:10.1007/s00268-004-7635-6

Abstract

We performed a prospective analysis of two consecutive biopsy cohorts investigated by the same team to compare the Mammotome system with the ABBI procedure. From April 1997 to August 2003 a series of 413 nonpalpable mammographic lesions in 387 women (median age 56 years, range 30–84 years) were stereotactically biopsied in the University Hospital of Basel, Switzerland. Until October 1999 the ABBI system was applied exclusively, it was subsequently superseded by the Mammotome device in our clinic. Main outcome measures were accuracy, technical demand, and morbidity. Sensitivity (97.3%/96.8%), negative predictive value (99.2%/98.7%), and diagnostic accuracy (99.4%/99.1%) regarding the detection of malignancy were excellent for both techniques (ABBI/Mammotome). The Mammotome procedure was faster and less invasive, thus causing significantly less morbidity. The larger specimen obtained by the ABBI procedure resulted in more detailed histology. In conclusion, recommend the Mammotome system as the method of choice for detecting nonpalpable early breast cancer.

Copyright information

© Société Internationale de Chirurgie 2005

Authors and Affiliations

  • Walter P. Weber
    • 1
  • Rosanna Zanetti
    • 2
  • Igor Langer
    • 1
  • Sophie Dellas
    • 3
  • Markus Zuber
    • 5
  • Holger Moch
    • 4
  • Eugenia Remmel
    • 6
  • Daniel Oertli
    • 1
  • Edward Wight
    • 2
  • Walter R. Marti
    • 1
  1. 1.Department of SurgeryUniversity of BaselCH-4031 Switzerland
  2. 2.Department of GynaecologyUniversity of BaselCH-4031 Switzerland
  3. 3.Department of RadiologyUniversity of BaselCH-4031 Switzerland
  4. 4.Department of PathologyUniversity of BaselCH-4031Switzerland
  5. 5.Department of SurgeryRegional Hospital of Olten, Baslerstrasse 150OltenCh-4600 Switzerland
  6. 6.Department of GynaecologyUniversity of Ulm, Prittwitzstrasse 43UlmD-89075 Germany

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