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Excision of carcinoma Operative Report Preoperative Diagnosis: Squamous cell carcinoma of the left forearm, 8mm Postoperative Diagnosis: Same Procedure: Excision of the same with layered primary closure Anesthetic: Local Brief Clinical History: The patient had a biopsy-proven squamous cell carcinoma of the left forearm. After explanation of the risks, benefits, and alternatives, she agreed to re-excision and closure. She understood that there would be a scar as a result. Details of Procedure: The patient was taken to the outpatient operating area. An ellipse was taken around the primary lesion with 5-mm margins for excision around the lesion. The are was infiltrated with 0.5% Xylocaine with 1:200,000 epinephrine, and approximately 5 cc was used. The are was prepared with Betadine paint and draped in a sterile manner. The lesion was elliptically excised and closed separately, and then a running subcuticular layer was performed. She tolerated the procedure well. She was given instructions for local care and will return in nine days for a checkup and suture removal. CPT Code(s): Index:
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