Jamie Dezenzo
True Blue
POSTOPERATIVE DIAGNOSIS: Massive tumor of the inferior aspect of the left pinna (PATH: MYCOSIS FUNGOIDES, TUMORAL STAGE,WITH TRANSFORMATION TO LARGE CELL LYMPHOMA)
PROCEDURE PERFORMED: The patient had a wide excision with flap closure.
FINDINGS: The patient was found to have a 5 cm x 4 cm x 2.5 cm tumor of the left lobule of the pinna. Photographs were taken preoperatively. This tumor was widely excised at the time going up towards the conchal cartilage of the left pinna. There were anterior and posterior flaps elevated to provide tissue closure and portions of the cartilage of the inferior aspect of the pinna were trimmed. The tumor, as was mentioned, was of a 5 cm x 4 cm x 2.5 cm size.
PROCEDURE: The patient was taken to the operating room, and following a general endotracheal anesthetic by XXXX, the patient was placed in a supine position with his head rotated to the right. The left ear was then prepped and draped in a sterile fashion and the outlying tissue infiltrated with 1% Xylocaine with 1:100,000 epinephrine. A wide incision line was then outlined and made with a #15 blade. There were anterior facial flaps, inferior fascial flaps, and the margins of the pinna were elevated as well. When the tumor had been completely excised, all bleeding was controlled with electrocautery, and then the subcutaneous tissue was drawn together with a 3-0 undyed Vicryl suture, and the skin was meticulously closed with a 3-0 silk suture. A mastoid dressing was then applied and the patient was then awaken and taken to postanesthesia recovery area in satisfactory condition.
Any ideas???.....looking at 11646/12052 202.11???
PROCEDURE PERFORMED: The patient had a wide excision with flap closure.
FINDINGS: The patient was found to have a 5 cm x 4 cm x 2.5 cm tumor of the left lobule of the pinna. Photographs were taken preoperatively. This tumor was widely excised at the time going up towards the conchal cartilage of the left pinna. There were anterior and posterior flaps elevated to provide tissue closure and portions of the cartilage of the inferior aspect of the pinna were trimmed. The tumor, as was mentioned, was of a 5 cm x 4 cm x 2.5 cm size.
PROCEDURE: The patient was taken to the operating room, and following a general endotracheal anesthetic by XXXX, the patient was placed in a supine position with his head rotated to the right. The left ear was then prepped and draped in a sterile fashion and the outlying tissue infiltrated with 1% Xylocaine with 1:100,000 epinephrine. A wide incision line was then outlined and made with a #15 blade. There were anterior facial flaps, inferior fascial flaps, and the margins of the pinna were elevated as well. When the tumor had been completely excised, all bleeding was controlled with electrocautery, and then the subcutaneous tissue was drawn together with a 3-0 undyed Vicryl suture, and the skin was meticulously closed with a 3-0 silk suture. A mastoid dressing was then applied and the patient was then awaken and taken to postanesthesia recovery area in satisfactory condition.
Any ideas???.....looking at 11646/12052 202.11???