Thoracic Epidural Analgesia Use in Large Recurrent Desmoid Fibromatosis Resection: A Case Report

Robyn S. Weisman, Gretel M. Carmenate, Katarina Nikolic, Gary H. Danton, Ralf E. Gebhard

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish (US)
JournalJournal of Pain and Palliative Care Pharmacotherapy
DOIs
StateAccepted/In press - 2022

Keywords

  • Desmoid fibromatosis
  • desmoid tumor
  • thoracic epidural analgesia

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine
  • Pharmacology (medical)

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