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Large Tumors


C. Suzanne Cutter, MD

Surgical Oncology located in Los Angeles, CA

Large Tumor Q & A

What is a Large Tumor?

The definition of large tumor varies by location and tumor type. Cystic, or fluid filled, tumors may grown to massive sizes as large as 30 cm based on the volume of fluid in the cyst. However solid tumors are usually considered large when greater than 5-8 cm. In either case, care must be taken to remove these tumors for the best opportunity for CURE.

CUREtology works to address large tumors of the trunk, GI tract, soft tissues, and non-bone portions of the extremities. Successful removal requires:

  • Knowledge of anatomy
  • Requires meticulous dissection
  • Preservation of vital structures, including major blood vessels and nerves
  • En bloc resection of all organis involved

Traditionally, the safest surgical approach is an open technique. This usually involves a large skin excision, retractors, and isolation of the tumor. Nevertheless, there is ongoing study of minimally invasive techniques. This usually involves a series of tiny incisions. These incisions are used to accommodate a camera and long slim instruments. The tumors are slowly separated from surrounding structures until it is completely free. The challenge then is removing it from the body. This usually occurs using an isolation bag to protect tissues while the specimen is removed through a small extraction incision. The key is to make this incision smaller than an incision for open surgery. The surgical approach decision is based on considerations such as the location, size, proximity to vital structures, risk of tumor perforation.

Fortunately, CUREtology is experienced with large tumors. Locations include:

  • Retroperitoneum
  • Abdominal organs
  • Abdominal wall
  • Groin
  • Thigh
  • Back
  • Axilla

Contact us for a consultation and treatment planning. We work in concert with Medical Oncology and Radiation Oncology to deliver standard of care treatment plans.