21557 Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm

Name of the Procedure:

Radical resection of tumor (e.g., sarcoma), soft tissue of neck or anterior thorax; less than 5 cm

Summary

A radical resection of a tumor involves surgically removing a soft tissue tumor, such as a sarcoma, located in the neck or anterior thorax (front of the chest) that measures less than 5 centimeters. The goal is to completely remove the tumor along with some surrounding healthy tissue to ensure no cancer cells remain.

Purpose

The procedure addresses the presence of a malignant soft tissue tumor. The primary goal is to completely excise the tumor to prevent its spread and to increase the chances of a cure. By removing the tumor, the procedure also aims to relieve any associated symptoms and improve the patient's quality of life.

Indications

• Suspected or confirmed malignant soft tissue tumor (e.g., sarcoma) in the neck or anterior thorax.
• Tumor size of less than 5 cm.
• Symptoms such as pain, swelling, or functional impairment due to the tumor.
• Patients in appropriate overall health to undergo surgery.

Preparation

• Pre-procedure fasting, typically from midnight on the day of surgery.
• Preoperative imaging studies (e.g., MRI, CT scan) to assess the tumor's size and location.
• Consultations with the surgical team, anesthesiologist, and possibly other specialists.
• Adjustment of medications as directed by the healthcare provider.
• Blood tests and other routine preoperative evaluations.

Procedure Description

1. The patient is brought to the surgical suite and positioned appropriately.
2. Anesthesia is administered (general anesthesia is common for this type of procedure).
3. The surgeon makes an incision over the area where the tumor is located.
4. The tumor is carefully identified and separated from the surrounding tissues.
5. The tumor is removed along with a margin of healthy tissue to ensure complete excision.
6. The surgical site is examined for any remaining cancerous tissue.
7. The incision is closed using sutures or staples.
8. A drain may be placed to remove any excess fluid buildup.
9. The patient is moved to the recovery area to awaken from anesthesia.

Duration

The procedure typically takes about 2 to 4 hours, depending on the complexity and location of the tumor.

Setting

The procedure is performed in a hospital operating room.

Personnel

• Surgeon specialized in oncology or surgical oncology.
• Surgical nurses.
• Anesthesiologist.
• Surgical technologists.

Risks and Complications

• Infection at the surgical site.
• Bleeding or hematoma.
• Damage to surrounding tissues or structures (nerves, blood vessels).
• Complications from anesthesia.
• Incomplete removal of the tumor requiring additional treatment.
• Scarring and possible functional impairment.

Benefits

• Complete removal of the tumor can potentially cure the cancer or significantly prolong survival.
• Relief of symptoms caused by the tumor (e.g., pain, swelling).
• Improved quality of life.

Recovery

• Initial recovery in the hospital for observation, usually for 1 to 3 days.
• Pain management with medications.
• Instructions on wound care and activity restrictions.
• Follow-up appointments for monitoring healing and further treatment if needed.
• Full recovery may take several weeks, depending on the complexity of the surgery and the patient's overall health.

Alternatives

• Radiation therapy, which can shrink tumors but may not be curative.
• Chemotherapy, either alone or in combination with other treatments.
• Less radical surgical options, though they might not ensure complete removal of the tumor.
• Palliative care for symptomatic relief without attempting curative surgery.

Patient Experience

• The patient will be under general anesthesia and will not feel anything during the surgery.
• Post-procedure pain and discomfort are managed with medications.
• Some patients may experience fatigue and limited mobility during the initial recovery period.
• The surgical team will provide detailed instructions for post-operative care and follow-up.