Name of the Procedure:

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

Summary

Radical resection of a tumor in the soft tissue of the forearm and/or wrist is a surgical procedure that involves the complete removal of a malignant tumor along with some surrounding healthy tissue to ensure all cancerous cells are excised.

Purpose

This procedure is performed to treat malignant tumors (such as sarcomas) in the soft tissue of the forearm or wrist. The goal is to completely remove the cancerous tissue to prevent the tumor from spreading and to minimize the risk of recurrence.

Indications

• Presence of a soft tissue sarcoma or other malignant tumor in the forearm or wrist.
• Tumor size of 3 cm or greater.
• Rapidly growing or symptomatic tumors.
• Previous imaging studies or biopsies confirming malignancy.

Preparation

• Fasting may be required for a specific period before the surgery.
• Adjustments to certain medications, particularly blood thinners, as per the doctor’s advice.
• Preoperative diagnostic tests including blood tests, imaging studies (e.g., MRI, CT), and a biopsy to understand the tumor's nature and extent.
• Consent form signing and pre-surgical consultation to discuss risks and benefits.

Procedure Description

1. The patient is placed under general anesthesia to ensure they are completely unconscious and pain-free.
2. The surgical site is cleaned and sterilized.
3. An incision is made over the location of the tumor on the forearm or wrist.
4. The tumor is identified, and a margin of healthy tissue surrounding the tumor is also excised to ensure complete removal.
5. The wound is closed with sutures or staples, and a drain may be placed to prevent fluid accumulation.
6. The excised tissue is sent to pathology for further analysis.

Duration

The procedure typically takes 2 to 4 hours, depending on the tumor’s size and location.

Setting

Radical resection is usually performed in a hospital operating room equipped with necessary surgical tools and equipment.

Personnel

• Surgeon specialized in oncologic surgery or orthopedic surgery.
• Anesthesiologist to administer anesthesia and monitor vitals.
• Surgical nurses and assistants to support the surgeon during the procedure.

Risks and Complications

• Infection at the surgical site.
• Bleeding or hematoma formation.
• Damage to surrounding nerves or blood vessels.
• Potential for incomplete removal of the tumor.
• Scarring or changes in function/mobility of the forearm or wrist.
• Rare risk of anesthesia-related complications.

Benefits

• Complete removal of the malignant tumor.
• Reduced risk of cancer spread (metastasis).
• Decreased chance of tumor recurrence.
• Potential improvement in symptoms caused by the tumor, such as pain or functional impairment.

Recovery

• Post-operative monitoring in the hospital for a short period.
• Pain management with prescribed medications.
• Instructions on wound care and activity restrictions.
• Physical therapy might be recommended to regain function and strength.
• Follow-up appointments to monitor healing and discuss pathology results.
• Expected recovery time varies but generally spans several weeks to a few months.

Alternatives

• Radiation therapy: Can be used to shrink the tumor before surgery or to treat residual cancer cells post-surgery.
• Chemotherapy: Often used in conjunction with surgery for more aggressive or advanced cancers.
• Observation: In very small, slow-growing tumors, regular monitoring might be an option.
• Pros and cons: Radiation and chemotherapy can have systemic side effects, while observation carries risks if the tumor grows.

Patient Experience

• During the procedure: The patient will be asleep and will not feel any pain due to general anesthesia.
• After the procedure: Patients may experience pain, swelling, and discomfort at the surgical site, which can be managed with pain medications.
• Gradual improvement in pain and function with proper rehabilitation and adherence to post-operative care instructions.