CPT® Code 27646

Radical resection of a tumor in the fibula 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. This procedure involves a comprehensive approach to ensure complete excision of the tumor along with a significant margin of healthy tissue to minimize the risk of residual cancerous cells. The process begins with a skin incision made directly over the tumor site, or alternatively, a skin flap may be created and elevated to provide better access to the underlying structures. Once the incision is made, the surgeon meticulously dissects the overlying tissue to expose the tumor. The radical resection entails the removal of all bone and cartilage that are involved with the tumor, ensuring that the tumor is excised en bloc, which means it is taken out in one piece along with a wide margin of surrounding healthy tissue. This is crucial as it helps to ensure that no cancerous cells remain in the area. The procedure also 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 margins are free of tumor cells, a separately reportable frozen section may be performed during the surgery. If any margins are found to contain malignancy, additional tissue will be excised until clear margins are achieved. Post-surgery, drains may be placed as necessary to prevent fluid accumulation, and the surgical wound can be closed in layers. In some cases, additional reconstructive procedures may be performed to restore the area after the radical resection.