Name of the Procedure:

Excision, Tumor, Soft Tissue of Foot or Toe, Subcutaneous; Less than 1.5 cm

Summary

This procedure involves surgically removing a small tumor, less than 1.5 cm, located just beneath the skin in the soft tissues of the foot or toe. It is typically done on an outpatient basis.

Purpose

The procedure addresses benign (non-cancerous) or malignant (cancerous) tumors in the soft tissues of the foot or toe. The goal is to eliminate the tumor, relieve any related symptoms, and prevent potential complications such as the spread of cancerous cells.

Indications

• Presence of a palpable lump in the foot or toe
• Pain or discomfort in the affected area
• Changes in skin over the tumor (e.g., discoloration, ulceration)
• Diagnostic imaging showing a soft tissue mass

Preparation

• Fasting may be required if general anesthesia is used.
• Adjustments in current medications, especially blood thinners.
• Pre-procedure imaging studies (e.g., MRI, ultrasound) to assess the tumor's size and location.

Procedure Description

1. The patient is positioned comfortably, and the surgical site is sterilized.
2. Local anesthesia is administered to numb the area; general anesthesia may be used in certain cases.
3. A small incision is made over the tumor.
4. The tumor is carefully excised along with a margin of surrounding tissue.
5. The incision is closed with sutures.
6. A sterile dressing is applied to the wound.

Duration

The procedure typically takes about 30 to 60 minutes.

Setting

The surgery is performed in an outpatient clinic or a surgical center.

Personnel

• Surgeon
• Surgical nurse
• Anesthesiologist (if general anesthesia is used)

Risks and Complications

• Infection at the surgical site
• Bleeding or hematoma formation
• Scarring
• Nerve damage, which may affect foot sensation
• Recurrence of the tumor

Benefits

• Removal of the tumor and associated symptoms
• Reduced risk of complications or spread if the tumor is malignant
• Typically, symptoms improve shortly after recovery

Recovery

• Keep the surgical site clean and dry.
• Follow prescribed pain management instructions.
• Avoid strenuous activities for 1-2 weeks.
• Follow-up appointment to monitor healing and remove sutures, usually within 7-14 days.

Alternatives

• Observation and regular monitoring of the tumor.
• Non-surgical interventions like aspiration or injection therapy (limited)
• Each alternative has specific pros and cons regarding effectiveness, risks, and recovery time.

Patient Experience

The patient might feel mild discomfort or pressure during the procedure. Post-procedure pain is generally mild and can be managed with over-the-counter pain medications. Recovery involves some rest and avoidance of putting excessive weight on the foot. Most patients return to normal activities within a few weeks.