Year 2023,
Volume: 40 Issue: 1, 188 - 190, 18.03.2023
Yasin Dalda
,
Özlem Dalda
,
Deniz Yavuz Başkıran
Fatih Gönültaş
References
- 1. Howlader N, Noone AM, Krapcho M, Miller D, Brest A, Yu M. SEER Cancer Statistics Review (CSR) 1975–2017. Released April 15, 2020. Bethesda (MD): National Cancer Institute. 2021.
- 2. Siegel RL, Miller KD, Jemal A. Cancer statistics, 2020. CA Cancer J Clin. 2020 Jan;70(1):7–30.
- 3. Hendrick RE, Helvie MA, Monticciolo DL. Breast cancer mortality rates have stopped declining in U.S. Women younger than 40 years. Radiology. 2021 Apr 1;299(1):143–9.
- 4. Christiansen P, Carstensen SL, Ejlertsen B, Kroman N, Offersen B, Bodilsen A, et al. Breast conserving surgery versus mastectomy: overall and relative survival-a population based study by the Danish Breast Cancer Cooperative Group (DBCG). Acta Oncol. 2018 Jan 2;57(1):19–25.
- 5. Gentilini OD, Cardoso MJ, Poortmans P. Less is more. Breast conservation might be even better than mastectomy in early breast cancer patients. Breast. 2017 Oct 1;35:32–3.
- 6. Fisher B, Anderson S, Bryant J, Margolese RG, Deutsch M, Fisher ER, et al. Twenty-year follow-up of a randomized trial comparing total mastectomy, lumpectomy, and lumpectomy plus irradiation for the treatment of invasive breast cancer. N Engl J Med. 2002 Oct 17;347(16):1233–41.
- 7. Surya R, Joseph Gunasingh JL, Sethuraman RM, Asokan A, Thilak M. “Combination of Thoracic Epidural Anesthesia, Supraclavicular Brachial Plexus Block and Supraclavicular Nerve Block as Surgical Anesthesia for Modified Radical Mastectomy-A Case Series.” A&A Pract. 2022 Jun 1;16(6):e01591.
- 8. Colak E, Alici O. Modified Radical Mastectomy under Local Anesthesia in High-Risk Male Breast Cancer. J breast Heal. 2015 Apr 7;11(2):98–100.
- 9. Gu C, Wang L, He Y, Ouyang T, Li J, Wang T, et al. Effect of Local Versus General Anesthesia in Breast-Conserving Surgery on Cancer Recurrence and Cost. Cancer Control. 2022 Mar 3;29.
- 10. Hirokawa T, Kinoshita T, Nagao T, Hojo T. A clinical trial of curative surgery under local anesthesia for early breast cancer. Breast J. 2012 Mar;18(2):195–7.
- 11. Giuliano AE, Ballman K, McCall L, Beitsch P, Whitworth PW, Blumencranz P, et al. Locoregional Recurrence After Sentinel Lymph Node Dissection With or Without Axillary Dissection in Patients With Sentinel Lymph Node Metastases: Long-term Follow-up From the American College of Surgeons Oncology Group (Alliance) ACOSOG Z0011 Randomized T. Ann Surg. 2016 Sep 1;264(3):413–9.
Curative breast cancer surgery with local anesthesia
Year 2023,
Volume: 40 Issue: 1, 188 - 190, 18.03.2023
Yasin Dalda
,
Özlem Dalda
,
Deniz Yavuz Başkıran
Fatih Gönültaş
Abstract
Breast cancer has become an important health problem affecting especially women and its incidence is increasing. It is treated with a multidisciplinary approach involving medical oncology, radiation oncology and surgical oncology. Surgical removal of the tumor is the most important step in its treatment. General anesthesia used during surgery carries significant risks in patient groups with advanced age and comorbidities. In addition, treatment options such as chemotherapy and radiotherapy other than surgery may have significant side effects in these patient groups. Therefore, surgery plays an important role in the treatment of patients. Surgery with local anesthesia is a suitable alternative to general anesthesia in patients with early stage breast cancer because it carries less risk. Breast cancer was diagnosed in a 64-year-old woman who presented with a mass in the right breast. In the anesthesia examination, she was evaluated as ASA 3 because of her comorbidities and age. We present our patient with high comorbidity and advanced age who underwent curative cancer surgery using only local anesthesia.
References
- 1. Howlader N, Noone AM, Krapcho M, Miller D, Brest A, Yu M. SEER Cancer Statistics Review (CSR) 1975–2017. Released April 15, 2020. Bethesda (MD): National Cancer Institute. 2021.
- 2. Siegel RL, Miller KD, Jemal A. Cancer statistics, 2020. CA Cancer J Clin. 2020 Jan;70(1):7–30.
- 3. Hendrick RE, Helvie MA, Monticciolo DL. Breast cancer mortality rates have stopped declining in U.S. Women younger than 40 years. Radiology. 2021 Apr 1;299(1):143–9.
- 4. Christiansen P, Carstensen SL, Ejlertsen B, Kroman N, Offersen B, Bodilsen A, et al. Breast conserving surgery versus mastectomy: overall and relative survival-a population based study by the Danish Breast Cancer Cooperative Group (DBCG). Acta Oncol. 2018 Jan 2;57(1):19–25.
- 5. Gentilini OD, Cardoso MJ, Poortmans P. Less is more. Breast conservation might be even better than mastectomy in early breast cancer patients. Breast. 2017 Oct 1;35:32–3.
- 6. Fisher B, Anderson S, Bryant J, Margolese RG, Deutsch M, Fisher ER, et al. Twenty-year follow-up of a randomized trial comparing total mastectomy, lumpectomy, and lumpectomy plus irradiation for the treatment of invasive breast cancer. N Engl J Med. 2002 Oct 17;347(16):1233–41.
- 7. Surya R, Joseph Gunasingh JL, Sethuraman RM, Asokan A, Thilak M. “Combination of Thoracic Epidural Anesthesia, Supraclavicular Brachial Plexus Block and Supraclavicular Nerve Block as Surgical Anesthesia for Modified Radical Mastectomy-A Case Series.” A&A Pract. 2022 Jun 1;16(6):e01591.
- 8. Colak E, Alici O. Modified Radical Mastectomy under Local Anesthesia in High-Risk Male Breast Cancer. J breast Heal. 2015 Apr 7;11(2):98–100.
- 9. Gu C, Wang L, He Y, Ouyang T, Li J, Wang T, et al. Effect of Local Versus General Anesthesia in Breast-Conserving Surgery on Cancer Recurrence and Cost. Cancer Control. 2022 Mar 3;29.
- 10. Hirokawa T, Kinoshita T, Nagao T, Hojo T. A clinical trial of curative surgery under local anesthesia for early breast cancer. Breast J. 2012 Mar;18(2):195–7.
- 11. Giuliano AE, Ballman K, McCall L, Beitsch P, Whitworth PW, Blumencranz P, et al. Locoregional Recurrence After Sentinel Lymph Node Dissection With or Without Axillary Dissection in Patients With Sentinel Lymph Node Metastases: Long-term Follow-up From the American College of Surgeons Oncology Group (Alliance) ACOSOG Z0011 Randomized T. Ann Surg. 2016 Sep 1;264(3):413–9.