In  a lumpectomy the surgeon removes the cancer and a small amount of  surrounding normal tissue but leaves most of the breast intact. With  other types of breast-sparing surgery, somewhat larger areas of the  healthy breast are removed. This distance between the outer edge of the  tumor and outer edge of the normal tissue surrounding it is known as the  
margin. The goal of breast-sparing surgery is to obtain 
clear, or 
clean, 
margins — that is, a band of normal breast tissue around the entire tumor that  is completely free of cancer. This dictates how much breast is  ultimately removed.
 
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