Soft Tissue Masses and Skin Lesions
A variety of soft tissue masses may be surgically removed by our
doctors. Here are some of them.
Skin tags ("Acrochordons")
A skin condition involving small, benign skin growths. Cutaneous
tags are very common, benign skin growths that occur most often
after midlife. They are tiny skin protrusions, and may have a small
narrow stalk connecting the skin bump to the surface of the skin.
They are usually painless and do not grow or change, except for
occasional irritation from rubbing by clothing or other friction.
Their origin is unknown.
Skin tags are usually very small, but sometimes half an inch long
and may be located on the neck, armpits, trunk, body folds, or other
areas. They may have a narrow stalk and are usually skin-colored,
but occasionally darker.
They may be surgically removed. There is usually no regrowth or
scar formation after removal. New cutaneous tags may appear elsewhere
on the body.
Sebaceous cysts (also known as epidermal cyst; Keratin cyst;
A closed sac found just under the skin containing "pasty"
or "cheesy" looking skin secretions. Sebaceous cysts most
often arise from swollen hair follicles. Skin trauma can also induce
a cyst to form. A sac of cells is created into which a protein called
keratin is secreted. These cysts are usually found on the face,
neck, and trunk. They are usually slow- growing, painless, freely
movable lumps beneath the skin. Occasionally, however, a cyst will
become inflamed and tender.
Symptoms may include a nontender, small lump beneath the skin;
redness, tenderness, or increased temperature of the skin over the
area may occur infection; and grayish white, cheesy, foul smelling
material may drain from the cyst.
In most cases, out doctors can diagnose a cyst based on its appearance.
Occasionally, a biopsy may be needed to rule out other conditions
with a similar appearance.
Sebaceous cysts can be surgically removed in a physician's office.
Alternatively, small inflamed cysts can be treated by injection
of steroid medications.
A lipoma is a benign, fatty tumor in the skin and underlying tissue,
usually on the back, arms and legs. Surgery may be suggested for
cosmetic reasons or if the lipoma is bothersome, for example at
the belt-line. An incision is made over the lipoma.
The lipoma is opened, cut free from connective tissue and removed.
The skin is closed with sutures or clips, which usually can be removed
about 1 week after surgery.
Unwanted vascular lesions, such as large and small blood vessels,
can successfully be treated by one of the doctors. Some examples
of treatable lesions include: telangiectasias (small spider-like
enlarged blood vessels) often seen on the face as the result of
sun exposure and increasing age, port-wine stains, flat pink or
red birthmarks which are often present at birth and some rosacea.
Other procedures such as the removal of moles, warts and cysts
are also performed by the doctors. In general, moles that are bigger
than the size of a pencil eraser, have jagged margins and uneven
pigmentation within the mole, should be checked by a dermatologist.
The vast majority of moles do not require removal. A wart is a benign
skin growth caused by a virus, surgical removal may be prescribed
for persistent warts.
A. General Surgery
1. Laparoscopic Surgery
f. Hiatal Hernia
2. Conventional Surgeries
f. Soft Tissue Masses and Skin
B. Vascular Surgery
1. Repair of abdominal
aortic aneurysm (AAA)
2. Bypass surgery of extremities
3. Carotid endarterectomy
4. Creation of
of central lines
C. Varicose Vein Treatment
1. TIPPS (Trans-Illuminated
2. SEPS (Subfascial
Endoscopic Perforator Surgery)
3. Deep venous
D. Breast Disease Management
1. Evaluation of breast
lumps (solid or cystic)
2. Cyst aspirations
3. Fine-needle aspiration
of solid breast lump
5. Sentinel lymph
E. Gastric Bypass (Bariatric Surgery)
F. Wound Management and Treatment
G. Thoracic surgery
1. Chest tube
2. Removal and
biopsy of nodules in lung and mediastinum
H. Vascular Laboratory