What is a wide local excision?

A wide local excision is a surgery that is carried out to remove unhealthy or abnormal tissue. Often, along with unhealthy tissue, the edge of healthy tissue around its marginal areas is also removed. Such excisions are part of surgery, which are commonly carried out to control and remove cancer growth. Tissue obtained during such medical procedures is sent for a pathological diagnosis to verify whether it is malignant or benign.

also called biopsy, the wide size of the local excision is limited to about 4 cm in the maximum diameter. In general, the tissue is removed to a depth of ½ to 1 inch (1.27 to 2.54 cm). For this reason, it is known as conservative surgery, including a specific localized body. Anesthesia usually consists of local anesthetics rather than general anesthesia needed for most operations. After excision, small stitches are placed to join the skin during healing, and usually leave a maximum scar.

tissue from wideThe local excision is carefully checked in the laboratory under the microscope to ensure that all unhealthy tissue has been removed. The diagnosis is made by a pathologist, a medical physician who specializes in studying tissues and determining whether he is healthy or unhealthy. The pathologist checks whether all the edges of unhealthy tissues can be seen, and whether this is not clear, the pathologist suggests that further excision may be necessary. The results provided by the pathologist help the doctor decide what type of treatment to consider for the patient.

There may be many reasons to create a wide local excision. For example, a dermatologist - a doctor specializing in skin diseases - can use the technique to remove cysts. The cyst can then be studied to determine whether it is a type of skin cancer called melanoma. The wide local excision occurs surgical removal of the primary tumor of melanoma along with the edge of the surrounding normal skin. Skin graft is rarely necessary to fill the space.

Gynecologist - a doctor specializing in healthWomen's care - may advance the patient to a general surgeon to create a wide local excision of breast tissue or lymph nodes. This procedure should check breast cancer. Depending on the pathological diagnosis, another surgical procedure called lumperctomy may be needed, which removes even more of the tissue.