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Schwartz's Principles of Surgery 11th Edition - Page - 02

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Kobe Brian Franco Peteros
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225 views1 page

Schwartz's Principles of Surgery 11th Edition - Page - 02

Uploaded by

Kobe Brian Franco Peteros
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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2 3 i E a ‘tumor control and patient survival. Tissue diagnosis is accom- plished using one of three methods: needle biopsy (typically CT-guided, FNA, or s core biopsy), incisional biopsy, or exci sional biopsy in limited and specific sinutions 1, Needle biopsy. Pathologists experienced with sarcomas can accurately diagnose approximately 20% of patients using FNA eytology. A needle biopsy (FNA or core) hss the advantage of avoiding wound and body cavity eontami- nation (a potential complication with an incisional biopsy). 2. Incisional biopsy. If a needle biopsy is aondiagnostic, sn incisional Biopsy may be performed, with caveats. First, the skin incision must be placed directly over the mass and or ented to allow subsequent sear excision and skia Tlaps, and drains should be avoided. Ifthe surgeon believes « hema- toma is likely to develop, a drain is useful for limiting sott tissue contamination by tumor cells. At the time of definitive surgical resection, the en bloc resection includes the biopsy sear and the dri tract along with the amor. 3. Exeisional biopsy. Any lesion less thsm 2.0 em ean be excised as long as the resulting wound is small enough to close primarily. Otherwise, excisional biopsy is per- formed only when the initial diagnosis (based on radio- graphic evaluation) indicates thatthe lesion is benign or When the lesion has the classic appearance of a chondro sarcoma (in which case, definitive surgical resection can be undertaken) Benign Chest Wall Neoplasms 1, Chondroma, Chondromas, seen primarily in children and young adults, are one of the more common benign tumors of the chest wall. They usually occur at the costochondral junction anteriorly and may be confused with costochondi- tis, except that a painless mass is present. Radiographically, the lesion is lobulated and radiodense; it may have diffuse or focal calcifications; and it may displace the bony cortex without penetration. Chonéromas may grow to huge sizes if left untreated. Treatment is surgical resection with a 2-em margin. Large chondromas may harbor well-

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