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52054 - Extensive Soft Tissue Tumour Removal (With Graft)

MBS service description:

Tumour, removal of, from soft tissue (including muscle, fascia and connective tissue), extensive excision of, with skin or mucosal graft (H) (Anaes.) (Assist.)
Schedule Fee:
669.4
@85% Benefit Fee:
@75% Benefit Fee:
Last updated on
March 29, 2025

When is item code 52054 (Extensive Soft Tissue Tumour Removal (With Graft)) typically used?

The need for extensive excision of a tumour from soft tissue—including muscle, fascia, and connective tissue—with a skin or mucosal graft arises when a large or aggressive mass in the oral and maxillofacial region requires complete removal, leaving a defect too significant to heal without additional tissue coverage. Performed in a hospital under anesthesia with assistance, this procedure targets deep tumours like sarcomas or expansive benign growths that threaten function, health, or aesthetics, necessitating both thorough excision and reconstruction. It is indicated for severe cases where the tumour’s size or location impacts critical structures, requiring a graft to restore integrity.

Key reasons include:

  • Large malignancies: A sarcoma in the neck muscle might need wide removal and a skin graft to cover the defect and prevent recurrence.
  • Extensive benign tumours: A massive fibroma in the cheek could impair expression, requiring excision and mucosal graft for repair.
  • Deep defects: Removal leaving exposed muscle or bone needs grafting to protect tissues and promote healing.
  • Functional preservation: Tumours affecting oral or facial movement require reconstruction to maintain speech or chewing.

For example, a patient with a 7 cm tumour in the buccal region might need this to remove the mass and graft mucosa to restore the cheek’s inner lining, ensuring oral function. In aged care, an elderly patient with a large neck tumour could require this with a skin graft to cover a defect, avoiding infection in fragile tissue. The assistant aids in graft placement, while the extensive excision and grafting ensure complete tumour removal and recovery, making this service essential for managing severe soft tissue pathology with significant reconstructive needs.

Benefits to the patient

Surgeons performing extensive excision of a tumor from the patient’s soft tissue (muscle, fascia, or connective tissue) with a skin or mucosal graft under anesthesia with assistance provide comprehensive benefits. A primary advantage is the full elimination of the tumor. This thorough removal ensures the patient’s invasive pathology is eradicated, alleviating symptoms like pain or dysfunction—crucial for 'soft tissue tumor excision benefits.' It also restores tissue coverage by grafting skin or mucosa, protecting the patient’s exposed area and promoting healing. Additionally, it preserves function or aesthetics by reconstructing the site, ensuring the patient maintains mobility and appearance. For surgeons researching 'benefits of tumor excision with grafting,' this assisted procedure offers patients complete tumor removal, effective coverage, and enhanced outcomes, making it a robust solution for extensive soft tissue lesions.

Recovery considerations

Recovery of 4-6 weeks with swelling and graft care; hospital stay likely.

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