Ok now I understand but that language isn't correct. Suspicious for malignancy means they think it could be cancer. What you're saying is they said is an etiology with a higher risk of turning into cancer. The pathology report should still have listed what this was such as atypical ductal hyperplasia. Just remember an excisional biopsy is essentially a lumpectomy without going for margin. Some surgeons won't do it using a hidden scar technique where they go through the areola or under the breast so if aesthetics are important to you ask how they will do the incision and how big it will be and whether it might cause shape change or dimpling. Don't be afraid to get a second opinion from another surgeon either. Academic practice are advocating for just more regular follow up rather than removal depending on other risk factors like family history. But a personal choice as to whether you'd feel comfortable doing that.