tumor spillage
Inadvertent release of tumor cells during surgical manipulation or resection.
Full Definition
Tumor spillage refers to the unintentional dissemination of viable cancer cells into body cavities or tissue planes during surgical procedures. This complication can occur through rupture of the tumor capsule, transection through tumor tissue, or contamination from surgical instruments. Tumor spillage has significant prognostic implications, potentially upstaging the disease and requiring modifications to adjuvant treatment plans. Documentation of spillage events is crucial for accurate staging and treatment planning. Preventive measures include careful tissue handling, en bloc resection techniques, and immediate cavity irrigation when spillage occurs.
Usage
Usage note: Always document the extent of spillage, contaminated areas, and corrective measures taken.
In Context
- "The operative note documented tumor spillage requiring immediate peritoneal lavage." — Surgical procedure report
- "Due to tumor spillage during laparoscopy, the case was converted to open surgery with extended resection." — Operative summary