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weve always used our clinical judgment to see if were a little bit too close to our target area and we do that in a couple of ways we do it by feel sometimes if you have an invasive tumor it actually forms a mass and you can feel that through your normal margins and if you feel like youre a little too close you can shave off a little bit more tissue in that area we also use specimen mammograms where we take a picture of the tissue after its been removed and if it looks like its coming too close to an edge you can take more tissue there some surgeons do global regions where you take out your lumpectomy and then you do shave margins all the way around the biopsy cavity Im not a big fan of that because I think youre taking a lot of tissue that may not need to come out and I think it can affect your cosmetic result with the margin probe when we check our tissue you know say this is our tissue and this is our superior margin if it alarms here I know its the superior margin next to
