Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; less than 5 cm
CPT4 code
Name of the Procedure:
Radical Resection of Tumor (e.g., Sarcoma), Soft Tissue of Back or Flank; Less than 5 cm
Summary
The radical resection of a soft tissue tumor involves surgically removing a cancerous growth from the soft tissue of the back or flank, specifically targeting tumors smaller than 5 cm in size. This is a precise surgical procedure aimed at completely removing the tumor to prevent its spread.
Purpose
The primary purpose of this procedure is to treat soft tissue sarcomas or other malignant tumors in the back or flank area. The goal is to excise the tumor along with a margin of healthy tissue to ensure no cancerous cells are left behind, reducing the risk of recurrence.
Indications
- Presence of a diagnosed soft tissue sarcoma or other malignant tumor in the back or flank.
- Tumor size less than 5 cm.
- Patients without other medical conditions that contraindicate surgery or anesthesia.
Preparation
- Fasting for at least 8 hours prior to surgery.
- Discontinuing certain medications, as advised by the surgeon, especially blood thinners.
- Pre-operative imaging studies like MRI or CT scans to map the tumor.
- Routine blood tests and physical examinations.
Procedure Description
- Anesthesia: Administered general anesthesia to ensure the patient is fully unconscious and pain-free.
- Incision: A surgical incision is made over the site of the tumor.
- Tumor Removal: The tumor and some surrounding healthy tissue are carefully excised.
- Closure: The incision is closed with sutures or staples.
- Pathology: The removed tissue is sent to pathology for examination.
Equipment includes scalpels, forceps, retractors, and surgical sutures. Imaging guidance may also be utilized during the procedure.
Duration
The procedure typically takes between 1 to 3 hours, depending on the complexity and location of the tumor.
Setting
The surgery is performed in a hospital's operating room or a specialized surgical center.
Personnel
- Surgeon: A specialized surgical oncologist or general surgeon.
- Nurses: Assisting before, during, and after surgery.
- Anesthesiologist: Administering and monitoring anesthesia.
- Pathologist: Analyzing the excised tissue post-procedure.
Risks and Complications
- Infection at the surgical site.
- Bleeding or hematoma formation.
- Injury to surrounding tissues or organs.
- Anesthesia-related risks like allergic reactions.
- Scar formation and potential for incomplete removal of the tumor.
Benefits
- Effective removal of cancerous or potentially cancerous tissue.
- Reduced risk of tumor recurrence when compared to less aggressive treatments.
- Potential improvement in prognosis and survival rates.
Recovery
- Initial hospital stay for monitoring, usually 1-3 days.
- Pain management with prescribed medications.
- Follow-up visits for wound care and to monitor for recurrence.
- Avoiding strenuous activities for 4-6 weeks.
- Physical therapy may be recommended based on recovery progress.
Alternatives
- Radiation Therapy: Non-surgical option with varying effectiveness.
- Chemotherapy: Systemic treatment but may not be effective alone for localized smaller tumors.
- Observation and Monitoring: For very slow-growing tumors in patients not fit for surgery.
Pros and cons of alternatives vary; less invasive but may be less effective in completely removing the tumor.
Patient Experience
During the procedure, the patient will be under general anesthesia and will not feel pain. Post-surgery, the patient may experience discomfort or pain at the incision site, managed with painkillers. Swelling and bruising are common. Follow the care team's instructions for wound care and activity levels to ensure proper healing.