Name of the Procedure:

Excision, Tumor, Soft Tissue of Face or Scalp, Subcutaneous; Less than 2 cm

Summary

This procedure involves the surgical removal of a small tumor (<2 cm) located in the subcutaneous (under the skin) soft tissue of the face or scalp.

Purpose

The primary goal is to remove a tumor that could be benign or malignant to prevent further growth, alleviate symptoms, or obtain tissue for diagnosis.

Indications

Patients may require this procedure if they have:

• A palpable lump or mass under the skin on the face or scalp
• Symptoms such as pain, discomfort, or changes in skin appearance
• Diagnostic imaging or biopsy suggesting the need for removal
• Cosmetic concerns due to the tumor's visibility

Preparation

Before the procedure, patients may be instructed to:

• Avoid eating or drinking for a few hours if general anesthesia is used
• Adjust certain medications as advised by the healthcare provider
• Undergo diagnostic tests like ultrasound or MRI to assess the tumor

Procedure Description

1. The area is cleansed and sterilized.
2. Local anesthesia or mild sedation is administered to numb the area.
3. A small incision is made over the tumor.
4. The tumor is carefully excised using surgical instruments.
5. The surrounding tissue is examined to ensure complete removal.
6. The incision is closed with sutures.
7. A bandage is applied to protect the site.

Duration

The procedure typically takes about 30 minutes to 1 hour, depending on the tumor's size and complexity.

Setting

This procedure is usually performed in an outpatient clinic, surgical center, or hospital.

Personnel

• Surgeon (often a general or plastic surgeon)
• Surgical nurse
• Anesthesiologist or nurse anesthetist (if sedation is used)

Risks and Complications

• Infection at the incision site
• Bleeding or hematoma formation
• Scarring or changes in skin appearance
• Temporary or permanent numbness in the area
• Incomplete tumor removal requiring further surgery

Benefits

• Removal of the tumor for symptom relief or cosmetic improvement
• Obtaining a tissue sample for definitive diagnosis
• Prevention of potential tumor growth or spread

Recovery

• Keep the incision site clean and dry.
• Follow all wound care instructions provided by the healthcare team.
• Avoid strenuous activities for a few days.
• Sutures are typically removed in 5-10 days.
• Attend follow-up appointments to monitor healing.

Alternatives

• Observation and regular monitoring if the tumor is stable and not causing symptoms
• Needle biopsy if the goal is solely diagnostic
• Non-surgical treatments such as cryotherapy or laser therapy, depending on the tumor type

Patient Experience

During the procedure, patients will feel minimal discomfort if local anesthesia is used. After the procedure, there may be some pain or swelling, which can be managed with over-the-counter pain medications and proper care. Most patients can return to regular activities within a few days.