Radical resection of tumor (eg, sarcoma), soft tissue of hand or finger; less than 3 cm
CPT4 code
Name of the Procedure:
Radical resection of tumor (eg, sarcoma), soft tissue of hand or finger; less than 3 cm
*Common name(s): Tumor removal surgery
*Technical/medical term: Radical resection of soft-tissue tumor
Summary
Radical resection of a soft tissue tumor in the hand or finger involves surgically removing a tumor that measures less than 3 centimeters in size. The procedure aims to eradicate the tumor and prevent its recurrence, preserving as much normal tissue and function of the hand or finger as possible.
Purpose
- Medical condition addressed: Soft tissue sarcoma or other soft tissue tumors.
- Goals: Completely remove the tumor, reduce the risk of recurrence, and maintain hand or finger function.
Indications
- Presence of a confirmed soft tissue tumor, such as sarcoma, in the hand or finger.
- Tumor size less than 3 centimeters.
- Patient experiencing symptoms like pain, swelling, or limited function.
- Diagnostic imaging or biopsy results suggesting malignancy or a high risk of malignancy.
Preparation
- Pre-procedure instructions: Fast for at least 6-8 hours before the procedure. Adjust any medications as advised by your doctor.
- Diagnostic tests: Imaging studies like MRI or CT scans, and possibly a biopsy to confirm the diagnosis.
Procedure Description
- Anesthesia: The procedure is usually performed under regional or general anesthesia.
- Incision: A precise incision is made over the tumor site in the hand or finger.
- Tumor removal: The tumor and a margin of surrounding healthy tissue are carefully excised.
- Closure: The incision is closed with sutures, and dressings are applied.
- Assessment: The removed tissue is sent to a lab for pathological examination to ensure all tumor cells have been removed.
Duration
The procedure typically takes about 1-2 hours, depending on the complexity and the exact location of the tumor.
Setting
Performed in a hospital or outpatient surgical center under sterile conditions.
Personnel
- Surgeon (orthopedic or hand surgeon)
- Anesthesiologist
- Surgical nurses
- Pathologist (for tissue examination post-resection)
Risks and Complications
- Common risks: Infection, bleeding, and pain at the surgical site.
- Rare risks: Nerve or tendon injury, incomplete tumor removal, recurrence of the tumor, and complications related to anesthesia.
Benefits
- Complete removal of the tumor.
- Reduced risk of recurrence.
- Preservation of hand or finger function.
- Relief from symptoms like pain and swelling.
- Most patients can see benefits within a few weeks after recovery.
Recovery
- Post-procedure care: Keep the surgical site clean and dry. Follow specific instructions for wound care and activity restriction.
- Expected recovery time: Usually 4-6 weeks. Physical therapy may be recommended to restore function.
- Follow-up: Scheduled visits with the surgeon for reviewing healing and any need for further treatment.
Alternatives
- Observation: Monitoring the tumor with regular imaging, which might be considered if the tumor is slow-growing.
- Radiation therapy: Often used in conjunction with surgery, particularly if complete surgical removal is not possible.
- Chemotherapy: May be recommended in more aggressive cases or if the tumor has spread.
- Pros and cons: Less invasive alternatives like radiation or chemo come with different sets of risks and might not be as effective in completely removing the tumor.
Patient Experience
- During the procedure: You will be under anesthesia and will not feel pain during the surgery.
- After the procedure: You might experience pain, swelling, or discomfort, managed with prescribed pain medication.
- Pain management: Follow the doctor’s recommendations for pain relief and take prescribed medications as directed.
By adhering to the outlined care plan and maintaining open communication with your healthcare provider, you can optimize your recovery and outcomes after the radical resection of a soft tissue tumor in the hand or finger.