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Papers of the Week

2022 Mar 15

J Pain Palliat Care Pharmacother

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


Weisman RS, Carmenate GM, Nikolic K, Danton GH, Gebhard RE
J Pain Palliat Care Pharmacother. 2022 Mar 15:1-4.
PMID: 35290150.


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.