Weisman Robyn S, Carmenate Gretel M, Nikolic Katarina, Danton Gary H, Gebhard Ralf E
J Pain Palliat Care Pharmacother. 2022 Mar;36(1):55-58. doi: 10.1080/15360288.2022.2049421. Epub 2022 Mar 15.
We present a case report of the successful use of thoracic epidural analgesia for the surgical resection of a large recurrent desmoid tumor and forequarter amputation in an adolescent male. Spinal anesthesia has been reported for intra-operative management of desmoid tumor resection, however, there are no reported cases of thoracic epidural analgesia for this tumor. Thoracic epidural should be used with caution in this patient population due to risk of de novo tumor creation but can be useful adjuvant to multi-modal analgesia to decrease post-operative opioid requirement.
我们报告了一例成功使用胸段硬膜外镇痛进行手术切除青少年男性复发性大型硬纤维瘤并进行前半侧截肢术的病例。已有报道使用脊髓麻醉进行硬纤维瘤切除术的术中管理，然而，尚无使用胸段硬膜外镇痛治疗该肿瘤的病例报道。由于存在新发肿瘤的风险，在这类患者中应谨慎使用胸段硬膜外镇痛，但它可作为多模式镇痛的有用辅助手段，以减少术后对阿片类药物的需求。
