21015 Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; less than 2 cm

Name of the Procedure:

Radical Resection of Tumor (e.g., Sarcoma), Soft Tissue of Face or Scalp; Less Than 2 cm

Summary

This procedure involves the surgical removal of a tumor, such as a sarcoma, from the soft tissue of the face or scalp when the tumor size is less than 2 centimeters.

Purpose

The procedure aims to:

• Remove cancerous or potentially cancerous tumors.
• Prevent the spread of cancer.
• Alleviate symptoms caused by the tumor, such as pain or disfigurement.

Indications

• Diagnosed sarcoma or other types of malignant tumors in the soft tissue of the face or scalp.
• Tumor size less than 2 centimeters.
• Patients who are healthy enough to undergo surgery.

Preparation

• Patients may be instructed to fast for a few hours before the surgery.
• Pre-procedure imaging tests, such as an MRI or CT scan, are often required to understand the tumor's exact location and size.
• Medication adjustments might be necessary, especially for blood thinners.

Procedure Description

1. The patient is placed under local or general anesthesia.
2. The surgical area is sterilized.
3. An incision is made around the tumor.
4. The tumor and a margin of healthy tissue around it are carefully excised to ensure complete removal.
5. The incision is then closed using sutures or surgical glue.
6. A dressing is applied to protect the area and promote healing.

Duration

The procedure generally takes about 1 to 2 hours, depending on the complexity.

Setting

The procedure is performed in a hospital operating room or a specialized surgical center.

Personnel

• Surgeons specialized in oncology or plastic surgery.
• Anesthesiologists.
• Nursing staff and surgical assistants.

Risks and Complications

• Infection at the surgical site.
• Bleeding or hematoma.
• Adverse reactions to anesthesia.
• Scarring or changes in skin sensation.
• Potential need for reconstructive surgery if a significant amount of tissue is removed.

Benefits

• Complete removal of the tumor.
• Lower risk of tumor spreading.
• Relief from symptoms associated with the tumor.
• Improved cosmetic and functional outcomes with early intervention.

Recovery

• Patients might go home the same day or stay overnight.
• Pain management with prescribed medications.
• Instructions on wound care.
• Avoid strenuous activities for a few weeks.
• Follow-up appointments to monitor healing and for any additional treatments like radiation or chemotherapy if necessary.

Alternatives

• Radiation therapy: Can shrink the tumor but may not completely remove it.
• Chemotherapy: Helps in controlling the spread but may not be sufficient for small, localized tumors.
• Observation: Monitoring the tumor for changes in size or symptoms, less invasive but carries risk of tumor growth or spread.

Patient Experience

• Patients might experience some discomfort or pain post-procedure, which can be managed with medications.
• Swelling and bruising around the surgical area are common.
• Most patients can return to normal activities within a few weeks; however, specific recovery experiences can vary based on individual health and the extent of the surgery.
• Emotional support may be beneficial due to the procedure's impact on facial appearance.