ArticleCureus2024
Revolutionizing Breast Surgery: A Case Report on the Excision of a Large Fibroadenoma Suggestive of Phyllodes Tumor Under Thoracic Spinal Anesthesia.
Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
1 citing paper in PubMed.
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Fibroadenomas are benign breast tumors, typically affecting middle-aged women, with rapid growth in some cases leading to compression of surrounding structures and presenting a clinical challenge. This case illustrates the successful use of thoracic spinal anesthesia (TSA) for excising a large fibroadenoma with characteristics suggestive of a phyllodes tumor, a procedure traditionally conducted under general anesthesia (GA). The anesthesia was administered using 1.5 ml of 0.5% isobaric levobupivacaine and 5 micrograms of dexmedetomidine, complemented by an ultrasound-guided erector spinae plane block (ESPB) for postoperative analgesia. The patient experienced minimal hemodynamic fluctuations and achieved immediate postoperative mobilization. This case underscores TSA as a safe, effective alternative to GA, particularly beneficial in patients with respiratory considerations, offering stable intraoperative conditions and rapid recovery.
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