therapylumpectomy

Therapylumpectomy is a surgical procedure defined as the excision of a therapylum, a term used in a small subset of medical literature to describe a discrete soft-tissue structure or lesion. Because "therapylum" is not a widely standardized anatomical term, definitions and anatomical localization vary by author. In many reports, the therapylum is described as a solitary, encapsulated mass arising in soft tissues near major neurovascular structures, while other sources describe it as a gland-like structure within a regional organ complex. As such, therapylumectomies are described mainly in case reports or early-stage literature rather than as a widely adopted standard operation.

Indications for therapy include symptomatic masses causing pain, restricted movement, or deformity; diagnostic uncertainty where excisional biopsy is preferred; or treatment of lesions deemed benign or low-grade malignant after imaging and biopsy.

The procedure generally involves preoperative imaging, histologic assessment, and anesthesia planning. During surgery, an incision is placed to access the lesion with care to protect adjacent neurovascular structures. The therapylum is dissected en bloc when possible, with margins preserved and specimens submitted for pathology. After removal, hemostasis is achieved and the wound closed in layers. Postoperative care includes pain control, wound management, and activity modification; follow-up focuses on healing and surveillance for recurrence.

Complications align with those of soft-tissue excisions and may include infection, hematoma, nerve or vessel injury, scarring, and anesthesia-related risks. Due to limited evidence, long-term outcomes and recurrence rates remain uncertain. See also: soft-tissue excision, endoscopic tissue removal.