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Home > Centers of Excellence > Podiatry > Neoplasm Excision

What is Neoplasm Excision?

Neoplasm or tumor removal is a surgical procedure to remove an abnormal growth.

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Effects of Neoplasm Excision

Surgery may be used to remove tumors for diagnostic or therapeutic purposes.

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Candidates for Neoplasm Excision

Some tumors are more common in one sex than the other, some are more common among children or the elderly, and some vary with diet, environment, and genetic risk factors.

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Your Consultation

As with anyone facing any surgical procedure, those undergoing foot and ankle surgery require specific tests or examinations before surgery to obtain a successful surgical outcome. Prior to surgery, the podiatric surgeon will review your medical history and medical conditions. Specific diseases, illnesses, allergies, and current medications need to be evaluated. Other tests that help evaluate your health status that may be ordered by the podiatric physician include blood studies, urinalysis, EKG, X-rays, blood flow studies (to better evaluate the circulatory status of the foot/legs), and biomechanical examination.

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The Neoplasm Excision Procedure

Once surgical removal has been decided, an oncologic surgeon will remove the tumor whole, taking with it a large section of the surrounding normal tissue. The healthy tissue is removed to minimize the risk of possible seeding.

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Recovery

Retesting and periodical examinations are necessary to ensure that a tumor has not reformed after total removal.

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Risks

Each tumor removal surgery carries certain risks that are inherent to the procedure. There is always a risk of misdiagnosing a cancer if an inadequate sample was procured during biopsy, or if the tumor was not properly located. There is a chance of infection of the surgical site, excessive bleeding, or injury to adjacent tissues. The possibility of metastasis and seeding are risks that have to be considered in consultation with an oncologist.

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Frequently Asked Questions

Q: What is a neoplasm?

A: Neoplasm or tumor, tissue composed of cells that grow in an abnormal way. Normal tissue is growth-limited, i.e., cell reproduction is equal to cell death. Feedback controls limit cell division after a certain number of cells has developed, allowing for tissue repair but not expansion. Tumor cells are less responsive to these restraints and can proliferate to the point where they disrupt tissue architecture, distort the flow of nutrients, and otherwise do damage.

Q: When is it necessary to opt for surgery?

A: Many conditions can affect the back portion of the foot and ankle. Fortunately, many of these problems can be resolved through conservative treatments. However when pain persists or deformity occurs, surgical intervention can often help alleviate pain, reduce deformity, and/or restore the function of your foot or ankle.

Q: What is a reconstructive surgery?

A: Reconstructive surgery of the foot and ankle consists of complex surgical repair(s) that may be necessary to regain function or stability, reduce pain, and/or prevent further deformity or disease. Unfortunately, there are many conditions or diseases that range from trauma to congenital defects that necessitate surgery of the foot and/or ankle. Reconstructive surgery in many of these cases may require any of the following: tendon repair/transfer, fusion of bone, joint implantation, bone grafting, skin or soft tissue repair, tumor excision, amputation and/or the osteotomy of bone (cutting of bones in a precise fashion). Bone screws, pins, wires, staples, and other fixation devices (both internal and external), and casts may be utilized to stabilize and repair bone in reconstructive procedures.

Q: What should I do after surgery?

A: Surgery of the rearfoot requires close care following surgery. To assure a rapid and uneventful recovery, it is important to follow your podiatric surgeon's advice and postoperative instructions carefully. Rest, ice, compression and elevation of your foot/ankle postoperatively is often advised. The usage of bandages, splints, casts, surgical shoes, crutches, or canes may be necessary after surgery. Your podiatric surgeon will also determine if and when you can bear weight on an operated foot.

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