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KMID : 1155520120070040286
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Anesthesia and Pain Medicine
2012 Volume.7 No. 4 p.286 ~ p.288
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Thoracic epidural anesthesia for modified radical mastectomy in a patient with diffuse systemic sclerosis?A case report?
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Jang Kyu-Yong
Park Jong-Taek
Park Woo-Young
Lee Jong-Hyuk
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Abstract
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Systemic sclerosis is a systemic autoimmune disease. It is characterized by deposition of collagen in skin, blood vessels and internal organs. Systemic sclerosis can cause skin, cardiovascular, pulmonary, gastrointestinal, renal and other complication. A 42 year old woman with systemic sclerosis and breast cancer was scheduled for modified radical mastectomy under thoracic epidural anesthesia because of exertional dypnea, decreased diffusion lung capacity and Raynaud s phenomenon. There was no dyspnea or significant hemodynamic change during operation under epidural anesthesia. She discharged 12 days after operation without complications. (Anesth Pain Med 2012; 7: 286∼288)
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KEYWORD
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Modified radical mastectomy, Systemic sclerosis, Thoracic epidural anesthesia
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