A technical note to prevent superficial tumor cell dissemination at fungating soft tissue tumor resection

Area of Science:

• Surgical Oncology
• Oncologic Surgery

Background:

• Tumor dissemination within the surgical field heightens the risk of local recurrence.
• Fungating soft tissue tumors pose a significant contamination risk during wide resection attempts.

Purpose of the Study:

• To evaluate a novel technique for covering fungating tumors during resection to prevent intraoperative tumor spilling and superficial dissemination.
• To assess the efficacy of tumor coverage in achieving local tumor control and reducing recurrence risk.

Main Methods:

• A technique involving swabs to absorb secretions and incise drapes to seal the tumor was employed.
• Double-row skin staples were used to secure the drapes, preventing dislodgement.
• The method was applied in eight patients undergoing wide resection for various soft tissue tumors.

Main Results:

• No intraoperative or postoperative complications were observed with the tumor covering technique.
• Histological confirmation demonstrated effective intraoperative local control in all eight patients.
• The technique successfully prevented tumor spilling and superficial dissemination in the surgical field.

Conclusions:

• Tumor covering during resection is a valuable strategy for enhancing local tumor control, particularly for fungating tumors.
• This technique offers a safe and effective method to minimize the risk of tumor dissemination during surgery.
• Implementing adequate tumor coverage can significantly improve oncologic outcomes by preventing local recurrences.