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Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; less than 2 cm
CPT4 code
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
- The patient is placed under local or general anesthesia.
- The surgical area is sterilized.
- An incision is made around the tumor.
- The tumor and a margin of healthy tissue around it are carefully excised to ensure complete removal.
- The incision is then closed using sutures or surgical glue.
- 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.