Teaching Tip: Simulated Tumors as an Aid to Teaching Principles of Surgical Oncology

Tumors of the skin and subcutaneous tissues are an important cause of morbidity and mortality in small animals. In many cases, surgical excision is an essential component of successful therapy and it should be performed in a specific way based on the type and grade of the tumor. Students require adequate training to develop both clinical decision-making skills and technical surgical skills, which we believe contribute to optimal clinical results. We have developed an inexpensive and simple technique that aims to replicate a naturally occurring subcutaneous tumor and allows trainees to plan and perform three common surgical procedures: incisional biopsy, marginal excision, and wide surgical excision. Artificial tumors were created by subcutaneous injection of a heated, oil-based solution that adhered to surrounding tissue as it solidified. Simulated masses were successfully created in all specimens. Many students performed the exercises with technical proficiency; however, some technical errors were identified and provided an opportunity to discuss the challenges of and solutions to several of these situations. This exercise may be a valuable addition to the veterinary curriculum, aiding student development of both technical skills and knowledge in the field of surgical oncology.