26118 Radical resection of tumor (eg, sarcoma), soft tissue of hand or finger; 3 cm or greater

Name of the Procedure:

Radical Resection of Tumor (e.g., Sarcoma), Soft Tissue of Hand or Finger; 3 cm or greater

Summary

Radical resection of a tumor in the soft tissue of the hand or finger involves the surgical removal of a malignant growth, such as a sarcoma, that is 3 centimeters or larger. The procedure aims to entirely remove the tumor along with some surrounding tissue to ensure all cancerous cells are eradicated.

Purpose

• Medical Condition: Addresses the presence of a malignant tumor (e.g., sarcoma) in the soft tissue of the hand or finger.
• Goals: To completely remove the tumor and a margin of healthy tissue to prevent recurrence and to preserve as much function and appearance of the hand or finger as possible.

Indications

• Presence of a sizable (3 cm or greater) malignant tumor in the soft tissue of the hand or finger.
• Symptoms such as a noticeable lump, pain, swelling, or functional impairment of the hand or finger.
• Diagnostic imaging or biopsy confirming malignancy.

Preparation

• Pre-procedure Instructions: The patient may need to fast for a certain period before the procedure. Adjustments in medication, particularly blood thinners, may be required.
• Diagnostic Tests: Imaging studies like MRI or CT scans and a biopsy of the tumor to assess the extent and nature of the malignancy.

Procedure Description

1. Anesthesia: General or regional anesthesia will be administered.
2. Incision: A surgical incision is made over the site of the tumor.
3. Tumor Removal: The tumor along with a margin of surrounding healthy tissue is carefully excised.
4. Closure: The surgical site is closed with sutures, and a sterile dressing is applied.
5. Tools and Equipment: Scalpel, forceps, surgical scissors, electrocautery for bleeding control.

Duration

The procedure typically takes about 1 to 2 hours, depending on the complexity and size of the tumor.

Setting

Performed in a hospital or a specialized surgical center.

Personnel

• Surgeon: Specializes in oncologic or orthopedic surgery.
• Anesthesiologist: Manages anesthesia.
• Surgical Nurses: Assist during the operation.
• Pathologist: May be involved in analyzing excised tissue.

Risks and Complications

• Common Risks: Infection, bleeding, pain, and scarring.
• Rare Risks: Nerve damage, loss of hand or finger function, recurrence of the tumor.

Benefits

• Complete removal of the tumor.
• Reduced risk of cancer recurrence.
• Preservation of hand or finger function and appearance.
• Outcomes are often realized within a few weeks post-surgery.

Recovery

• Post-procedure Care: Wound care instructions, pain management with prescribed medications, and physical therapy may be recommended.
• Expected Recovery Time: Typically 4 to 6 weeks, with follow-up appointments to monitor healing and detect any signs of recurrence.
• Restrictions: Limited use of the hand or fingers to allow proper healing.

Alternatives

• Radiation Therapy: Less invasive but may not be as effective for large tumors.
• Chemotherapy: Useful for systemic disease but may have extensive side effects.
• Observation or Palliative Care: For patients where surgery is not an option, focusing on symptom relief.

Patient Experience

• During the Procedure: The patient will be under anesthesia and unaware of the procedure.
• After the Procedure: Post-anesthesia grogginess, manageable pain at the surgical site, and some discomfort which will be addressed with pain management strategies. Frequent follow-up appointments to ensure proper recovery and monitor for any complications.