CPT® Code 27078

Radical resection of a tumor, specifically involving the ischial tuberosity and greater trochanter of the femur, is a surgical procedure primarily indicated for the removal of malignant neoplasms. However, 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. Once the incision is made, the surgeon meticulously dissects the overlying tissue to expose the tumor. The radical resection entails the complete removal of all bone and cartilage that is involved with the tumor, ensuring that the ischial tuberosity and greater trochanter of the femur are thoroughly addressed. The tumor is excised en bloc, which means it is removed in one piece along with a wide margin of surrounding healthy tissue to minimize the risk of residual tumor cells. This comprehensive approach includes the excision of all affected soft tissues, which may encompass muscles, tendons, fat, blood vessels, lymph vessels, nerves, and any tissues surrounding the joints. To confirm that all tumor margins are clear of malignancy, a separately reportable frozen section may be performed during the procedure. If any margins are found to contain tumor cells, additional tissue will be excised until all margins are confirmed to be free of malignancy. 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 as needed.