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52042 - Large Lesion Removal (> 3 cm)

MBS service description:

TUMOUR, CYST, ULCER OR SCAR, (other than a scar removed during the surgical approach at an operation), more than 3 cm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane (Anaes.)
Schedule Fee:
196.5
@85% Benefit Fee:
167.05
@75% Benefit Fee:
167.05
Last updated on
March 29, 2025

When is item code 52042 (Large Lesion Removal (> 3 cm)) typically used?

The need for surgical excision of a tumour, cyst, ulcer, or scar over 3 cm in diameter from the skin, subcutaneous tissue, or mucous membrane arises when a larger lesion presents significant health risks, functional impairment, or cosmetic concerns, requiring complete removal under anesthesia. These sizable abnormalities—whether benign, malignant, or chronic—often grow, persist, or cause symptoms that non-surgical treatments cannot address, necessitating a definitive approach in the oral and maxillofacial region where size amplifies impact. This procedure ensures thorough excision and suturing, critical for healing and diagnosis in prominent or functional areas.

Key reasons include:

  • Large growths: A 4 cm tumour on the forehead might be a basal cell carcinoma, needing removal to prevent invasion or disfigurement.
  • Extensive cysts: A big subcutaneous cyst on the neck could press on nerves or vessels, requiring excision for relief and to avoid rupture.
  • Chronic ulcers: A wide oral ulcer might indicate malignancy or severe infection, needing removal for diagnosis and healing.
  • Scar issues: A large scar from trauma causing tightness or pain can be excised to restore mobility or appearance.

For example, a patient with a 5 cm cyst on the jawline noticed during a checkup might need this to prevent bone erosion or infection, enhancing comfort. In aged care, an elderly patient with a large facial ulcer from sun exposure could require this to confirm cancer and avoid progression, given their vulnerability. By addressing the lesion’s size and depth, this service eliminates pathology, reduces complications, and supports recovery, making it vital for managing significant maxillofacial abnormalities.

Benefits to the patient

Surgeons removing a tumor, cyst, ulcer, or scar over 3 cm from the patient’s skin, subcutaneous tissue, or mucosa under anesthesia provide significant benefits for larger lesions. A major advantage is the removal of large pathology. Excising substantial abnormalities relieves the patient’s symptoms like pain or obstruction, critical for 'large lesion treatment benefits.' It also prevents complications by eliminating growths that could worsen or spread, protecting the patient’s health over a broader area. Additionally, it improves the patient’s function or aesthetics by resolving prominent lesions, enhancing their quality of life in visible or functional regions. For surgeons researching 'benefits of large excision,' this procedure ensures patients experience pathology elimination, complication prevention, and enhanced well-being, offering a robust solution for significant cutaneous or mucosal issues.

Recovery considerations

Recovery of 2-3 weeks with swelling; larger sutures may extend healing time.

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