With the patient prone and under local anesthesia with .5% Lidocaine local anesthesia, the tumor was resected with a 10 mm lateral margin and including the fascia in the deep margin. After careful hemostasis, the wound was packed with saline gauze and an elastic wrap while waiting for the pathology report. The patient was discharged on oral pain medication.
Pathology showed margins free of tumor and the wound was closed 48 hours after the resection. A split thickness skin graft, 10/1000 inch thick was taken from the left forearm, meshed , expanded and sutured in place with 4.0 chromic gut. Xeroform gauze, dry gauze and an elastic wrap was used to provide a pressure dressing.