25077 Radical resection of tumor (eg, sarcoma), soft tissue of forearm and/or wrist area; less than 3 cm

Name of the Procedure:

Radical Resection of Tumor (e.g., Sarcoma), Soft Tissue of Forearm and/or Wrist Area; Less Than 3 cm.

Summary

A radical resection of a tumor in the soft tissue of the forearm or wrist is a surgical procedure to completely remove a tumor that is less than 3 cm in size. This surgery is typically performed to treat types of cancer known as sarcomas in these specific areas.

Purpose

The procedure addresses the presence of a sarcoma or similar tumor in the forearm or wrist's soft tissues. The primary goal is to completely remove the tumor to prevent its spread and eliminate cancerous cells from the affected area, thereby improving the patient's long-term prognosis.

Indications

• Presence of a small (less than 3 cm) soft tissue sarcoma in the forearm or wrist.
• Symptoms such as swelling, pain, or functional impairment in the affected area.
• A biopsy confirming malignancy.

Preparation

• Fasting for at least 8 hours prior to the procedure.
• Discontinuation or adjustment of certain medications as advised by the physician.
• Preoperative imaging tests such as an MRI or CT scan to assess the tumor's size and location.
• Routine blood tests and a physical examination.

Procedure Description

1. Anesthesia: The patient is administered general anesthesia to ensure they are unconscious and pain-free during the surgery.
2. Incision: A precise incision is made over the tumor site in the forearm or wrist.
3. Tumor Excision: The surgeon carefully excises the tumor, along with a margin of healthy tissue around it to ensure complete removal of cancerous cells.

4. Closure: The incision is then closed with sutures or staples, and a sterile dressing is applied.

   Tools and equipment include scalpel, surgical tweezers, and possibly specialized instruments for better visibility and precision.

Duration

The procedure typically lasts between 1 to 2 hours, depending on the tumor’s exact location and complexity.

Setting

The surgery is usually performed in a hospital’s surgical suite.

Personnel

• A board-certified surgeon specializing in oncologic or orthopedic surgery.
• An anesthesiologist or nurse anesthetist.
• Surgical nurses and possibly an oncologist.

Risks and Complications

• Infection at the surgical site
• Bleeding or hematoma formation
• Nerve damage leading to sensation or functional loss
• Recurrence of the tumor
• Complications related to anesthesia

Benefits

• Complete removal of the tumor
• Reduced risk of cancer spread or recurrence
• Alleviation of symptoms like pain and functional impairment
• Potentially improved long-term survival rates

Recovery

• Postoperative pain management with prescribed medications.
• Instructions for wound care and keeping the area clean and dry.
• Possible use of a splint or brace to restrict movement during initial healing.
• Physical therapy to restore function and strength.
• Follow-up appointments to monitor healing and check for any signs of recurrence.
• Typical recovery time ranges from a few weeks to a few months, depending on individual healing rates.

Alternatives

• Radiation therapy: Non-surgical option that uses high-energy rays to kill cancer cells.
• Chemotherapy: Use of drugs to kill cancer cells, often used in conjunction with other treatments.
• Observation: In cases where the tumor is very slow-growing and not causing symptoms, active surveillance may be an option.

Patient Experience

Patients can expect some pain and swelling in the surgical area, which can be managed with medications. Discomfort typically diminishes within a few days. Patients might experience temporary restrictions in arm or wrist function and gradual improvement with physical therapy and exercises. Most patients are able to return to daily activities within a few weeks, although heavy lifting or strenuous activity might be restricted for a longer period.