Subclinical mammographic abnormalities discovered through screening are sub
jected to excisional surgical biopsy in order to prove or rule out malignan
t disease of the breast by histological examination. Close attention should
be paid by the surgeon to avoid cosmetically disfiguring scar and failure
in excision removal exhibited on postoperative mammogram Indications for su
rgical assessment are selected upon suspicious patterns of opacities, duste
rs of microcalcifications or architectural distortions.
Good communication between the radiologist, the surgeon and the pathologist
is required for proper management of non palpable lesion. The most adequat
e lumpectomy technique should be performed with regard to the oncologic ris
k and cosmetic outcome.