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52182 - Malignant Bone or Soft Tissue Tumour Excision

MBS service description:

Bone or malignant deep soft tissue tumour in the oral and maxillofacial region, lesional or marginal excision of (H) (Anaes.) (Assist.)
Schedule Fee:
471.9
@85% Benefit Fee:
@75% Benefit Fee:
Last updated on
March 29, 2025

When is item code 52182 (Malignant Bone or Soft Tissue Tumour Excision) typically used?

The need for lesional or marginal excision of a bone or malignant deep soft tissue tumour in the oral and maxillofacial region arises when a patient has a confirmed or suspected malignant tumour—such as an osteosarcoma or sarcoma—in bone or deep tissue, requiring surgical removal under anesthesia with assistance in a hospital to eradicate the tumour with minimal margins and preserve function where possible. This procedure is indicated for localized malignancies or aggressive lesions where complete resection isn’t immediately necessary, critical in the maxillofacial area where tumour growth threatens structure and vital functions like chewing or breathing.

Specific indications include:

  • Bone malignancy: An osteosarcoma in the mandible might need marginal excision to remove it while saving healthy bone.
  • Deep soft tissue: A sarcoma in the cheek muscle could require lesional excision to stop local invasion.
  • Early-stage cancer: A small malignant tumour might be excised with margins to avoid radical surgery.
  • Functional preservation: Limited excision aims to maintain jaw or facial movement.

For instance, a patient with a small mandibular sarcoma might need this to remove the tumour while preserving jaw structure, with assistance ensuring precision. In an aged care setting, an elderly patient with a deep tissue malignancy could benefit from this to avoid extensive surgery, given their frailty. By excising the tumour with margins, this service controls malignancy, minimizes tissue loss, and supports recovery, making it a key approach for managing localized maxillofacial cancers.

Benefits to the patient

Surgeons excising a bone or malignant deep soft tissue tumor in the patient’s oral and maxillofacial region under anesthesia with assistance offer therapeutic benefits. A key advantage is removing cancer. This procedure eliminates the patient’s malignant lesion, halting its impact—essential for 'malignant tumor excision benefits.' It also preserves function by targeting only the tumor, ensuring the patient retains oral or facial capabilities. Furthermore, it prevents local spread by excising the lesion, protecting the patient’s surrounding tissues. For surgeons exploring 'maxillofacial tumor removal advantages,' this assisted service ensures patients experience cancer elimination, functional preservation, and spread prevention, providing a targeted approach to malignant tumors.

Recovery considerations

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

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