© Copyright 2026 American Medical Association. All rights reserved.
Radical resection of a tumor in the shaft or distal humerus is a surgical procedure primarily indicated for the removal of malignant neoplasms, although it may also be necessary for benign tumors or tumors of indeterminate nature. The procedure begins with the creation of a skin incision directly over the tumor site, or alternatively, a skin flap may be elevated to provide access. The surgeon meticulously dissects the overlying tissue to expose the tumor, ensuring that all affected bone and cartilage in the shaft or distal humerus are removed. This comprehensive approach involves excising the tumor en bloc, which means the tumor is taken out in one piece along with a wide margin of healthy surrounding tissue to ensure complete removal of cancerous cells. The radical resection process also encompasses the excision of all involved soft tissues, which can include muscles, tendons, fat, blood vessels, lymph vessels, nerves, and any tissues surrounding the joints that may be affected by the tumor. To confirm that all cancerous cells have been eliminated, a separately reportable frozen section may be performed during the procedure. If any margins are found to contain malignancy, additional tissue will be excised until all margins are confirmed to be free of tumor cells. Post-surgery, drains may be placed as necessary to manage fluid accumulation, and the surgical wound can be closed in layers, or additional reconstructive procedures may be performed if required.
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