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Is surgery necessary for a radial scar?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am a 52-year-old, and my annual mammogram showed a 'radial scar,' and they want to do surgery. There is no family history of breast cancer. Everything online is so confusing. Some sources say it is not cancer but could become cancer. The surgeon wants to remove it, but I am wondering if we can just watch and wait. What are the actual chances of it becoming malignant? Also, will the surgery leave a big scar? I am worried about making the wrong decision.

Please help.

Thank you.

Answered by Dr. Jain Tushar Pukharaj

Education:

MD

Professional Bio:

Dr. Tushar Jain is a Pulmonologist with extensive experience in diagnosing and managing respiratory conditions, including asthma, COPD, lung infections, and sleep-related breathing disorders. He also has clinical expertise in critical care, infectious diseases, allergy management, and internal medicine. With a patient-focused approach, Dr. Jain emphasizes accurate diagnosis, evidence-based treatment, and personalized care plans to improve breathing health and overall well-being. He regularly treats complex respiratory and critical-care cases and is committed to early intervention and preventive healthcare. Dr. Jain currently provides consultation and advanced lung-care services at his clinic, helping patients achieve better long-term respiratory health and quality of life.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I understand your concern.

I think surgical excision might not always be necessary, especially if the scar is small and incidentally detected.

Confirming diagnosis with biopsy:

Before making a decision, it is crucial to confirm the diagnosis with a biopsy. This will help determine whether the radial scar is benign or if there are any cancerous cells present. There are different types of biopsies, including:

1. Core needle biopsy: A minimally invasive procedure that uses a hollow needle to remove tissue samples.

2. Vacuum-assisted biopsy: A procedure that uses a vacuum-powered instrument to remove tissue samples.

Radial scars are lesions that can be found in the breast tissue, and they are often detected during mammograms or biopsies. While they are usually benign, there is a slightly increased risk of breast cancer associated with them. However, it is essential to note that radial scars are not premalignant lesions, meaning they will not necessarily develop into cancer.

I hope this helps.

Kindly follow up if you have more concerns.

Thank you.

Medically reviewed by iCliniq medical review team
Published At March 27, 2025
Reviewed At November 27, 2025

Education:

MD

Professional Bio:

Dr. Tushar Jain is a Pulmonologist with extensive experience in diagnosing and managing respiratory conditions, including asthma, COPD, lung infections, and sleep-related breathing disorders. He also has clinical expertise in critical care, infectious diseases, allergy management, and internal medicine. With a patient-focused approach, Dr. Jain emphasizes accurate diagnosis, evidence-based treatment, and personalized care plans to improve breathing health and overall well-being. He regularly treats complex respiratory and critical-care cases and is committed to early intervention and preventive healthcare. Dr. Jain currently provides consultation and advanced lung-care services at his clinic, helping patients achieve better long-term respiratory health and quality of life.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MD

Professional Bio:

Dr. Tushar Jain is a Pulmonologist with extensive experience in diagnosing and managing respiratory conditions, including asthma, COPD, lung infections, and sleep-related breathing disorders. He also has clinical expertise in critical care, infectious diseases, allergy management, and internal medicine. With a patient-focused approach, Dr. Jain emphasizes accurate diagnosis, evidence-based treatment, and personalized care plans to improve breathing health and overall well-being. He regularly treats complex respiratory and critical-care cases and is committed to early intervention and preventive healthcare. Dr. Jain currently provides consultation and advanced lung-care services at his clinic, helping patients achieve better long-term respiratory health and quality of life.

This doctor is not available for online consultations on the platform anymore.

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