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so lumpectomy is removal is a lay term for removal of a breast cancer it includes not only removing the lump itself but some surrounding tissue which may contain some microscopic tentacles of cancer those little tentacles are not usually visible on mammography you canamp;#39;t see them in the operating room so you just have to assume there may be cancer adjacent to the index cancer and just remove extra normal-looking tissue so you know you get the area out the reason we do that is that we know that if we leave cancer behind at any margin at any edge that thereamp;#39;s a markedly increased risk of the cancer coming back within the breast