Hematology - Oncology
Sample Name: Excision of Squamous Cell Carcinoma
Description: Re-excision of squamous cell carcinoma site, right hand.
(Medical Transcription Sample Report)
PREOPERATIVE DIAGNOSIS: Squamous cell carcinoma on the right hand, incompletely excised.
POSTOPERATIVE DIAGNOSIS: Squamous cell carcinoma on the right hand, incompletely excised.
NAME OF OPERATION: Re-excision of squamous cell carcinoma site, right hand.
ANESTHESIA: Local with monitored anesthesia care.
INDICATIONS: Patient, 72, status post excision of squamous cell carcinoma on the dorsum of the right hand at the base of the thumb. The deep margin was positive. Other margins were clear. He was brought back for re-excision.
The wound was irrigated with warm normal saline. Hemostasis was assured with the electrocautery. The wound was closed with running 3-0 nylon without complication. The patient tolerated the procedure well and was taken to the recovery room in stable condition after a sterile dressing was applied.
Keywords: hematology - oncology, monitored anesthesia care, elliptical incision, squamous cell carcinoma site, squamous cell carcinoma, squamous cell, excision, squamous, carcinoma,