Dear Dr Sing,
Would it be possible to postpone his surgery to Monday afternoon? Approximately at 2pm.
would like to have a second opinion sought out before proceeding the
surgery as well as the X-ray that we spoke of during the previous
appointment. Could I also request that only the specific lump and not
the surrounding tissue be removed? Should it be that it is malicious, it
will very likely reoccur and I would like to minimize the trauma that
Moo might have to go through post surgery. Thus I'll like to have only
the swelling drained if it is an abscess or only the specific tumor be
removed to ease the pressure on his nasal passage without removal of the
entire facial structure.
Do let me know if you are comfortable with the arrangement. You may
also contact me at 98290503 should you have any further enquiries.
Thank you so much for everything you have done for XXX.
EMAIL FROM DR SING DATED MAR 15, 2013
Pl feel free to get a second opinion, the X-rays (including contrast
X-rays) and other investigations. A biopsy can be done to check whether
the lump is malignant or not without excision of the lump after drainage
(if it is an abscess, haematoma or cyst).
As to whether the
specific lump can be removed without the surrounding tissues, it may or
may not be possible if the lump is embedded inside the muscles or
tissues. All surgeons will not want to remove unnecessary tissues
disfiguring the patient.
My rationale for the complete excision
of the nose lump is that it is growing. If it is an abscess, haematoma
or cyst, then there is no need to excise the lump after drainage. If it
is a slow growing soft tissue tumour, early excision is advised by me. A
biopsy can be done first if the tumour is slow growing or is benign. If
it is malignant, it should be excised soon.