Bloqueo de las ramas cutáneas anteriores de los nervios intercostales para el control del dolor crónico por infiltración tumoral de carcinoma de mama metastásico

  1. Laura Martín González-Zaera 1
  2. Ana Santamaría López 1
  3. Esperanza Ortigosa Solórzano 1
  4. Servando López Álvarez 2
  1. 1 Hospital Universitario de Getafe
    info

    Hospital Universitario de Getafe

    Getafe, España

    ROR https://ror.org/01ehe5s81

  2. 2 Hospital Abente y Lago (La Coruña)
Revista:
MPJ Multidisciplinary Pain Journal

ISSN: 2697-2263

Año de publicación: 2024

Número: 1

Tipo: Artículo

DOI: 10.20986/MPJ.2024.1075/2024 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: MPJ Multidisciplinary Pain Journal

Resumen

Pain deriving from tumoral infiltration may be disabling and refractory to third step analgesics. We present a 67-year-old patient suffering from metastatic breast cancer with tumor infiltration pain in the medial side of the mastectomy. After performing the BRCA block (anterior cutaneous branches of the intercostal nerves block) the patient experienced a significant pain relief that lasted several months without any technique complications.

Referencias bibliográficas

  • Avila F, Torres-Guzman R, Maita K, Garcia JP, De Sario GD, Borna S, et al. A Review on the Management of Peripheral Neuropathic Pain Following Breast Cancer. Breast Cancer (Dove Med Press). 2023;15:761-772. DOI: 10.2147/BCTT.S386803.
  • Smeele HP, Bijkerk E, van Kuijk SMJ, Lataster A, van der Hulst RRWJ, Tuinder SMH. Innervation of the Female Breast and Nipple: A Systematic Review and Meta-Analysis of Anatomical Dissection Studies. Plast Reconstr Surg. 2022;150(2):243-55. DOI: 10.1097/PRS.0000000000009306.
  • Satija A, Ahmed SM, Gupta R, Ahmed A, Rana SP, Singh SP, et al. Breast cancer pain management - A review of current & novel therapies. Indian J Med Res. 2014;139(2):216-25.
  • Chang PJ, Asher A, Smith SR. A Targeted Approach to Post-Mastectomy Pain and Persistent Pain following Breast Cancer Treatment. Cancers. 2021;13(20):5191. DOI: 10.3390/cancers13205191.
  • Miltenburg NC, Boogerd W. Chemotherapy-induced neuropathy: A comprehensive survey. Cancer Treat Rev. 2014;40(7):872-82- DOI: 10.1016/j.ctrv.2014.04.004.
  • Yang A, Nadav D, Legler A, Chen GH, Hingula L, Puttanniah V, et al. An Interventional Pain Algorithm for the Treatment of Postmastectomy Pain Syndrome: A Single-Center Retrospective Review. Pain Medicine. 2021;22(3):677-86. DOI: 10.1093/pm/pnaa343.
  • Schnabel A, Reichl SU, Kranke P, Pogatzki-Zahn EM, Zahn PK. Efficacy and safety of paravertebral blocks in breast surgery: a meta-analysis of randomized controlled trials. Br J Anaesth. 2010;105(6):842-52. DOI: 10.1093/bja/aeq265.
  • Cros J, Sengès P, Kaprelian S, Gagnon C, Labrunie A, Marin B, et al. Pectoral I block does not improve postoperative analgesia after breast cancer surgery: a randomized, double-blind, dual-centered controlled trial. Reg Anesth Pain Med. 2018;43(6):596-604. DOI: 10.1097/AAP.0000000000000779.
  • Ueshima H, Otake H. Addition of transversus thoracic muscle plane block to pectoral nerves block provides more effective perioperative pain relief than pectoral nerves block alone for breast cancer surgery. Br J Anaesth. 2017;118(3): 439-43. DOI: 10.1093/bja/aew449.
  • Terkawi AS, Tsang S, Sessler DI, Terkawi RS, Nunemaker MS, Durieux ME, et al. Improving analgesic efficacy and safety of thoracic paravertebral block for breast surgery: a mixed-effects meta-analysis. Pain Physician. 2015;18(5):E757-80. DOI: 10.36076/ppj.2015/18/E757.
  • Jacobs A, Lemoine A, Joshi GP, Van de Velde M, Bonnet F; PROSPECT Working Group collaborators. PROSPECT guideline for oncological breast surgery: a systematic review and procedure-specific postoperative pain management recommendations. Anaesthesia. 2020;75(5):664-73. DOI: 10.1111/anae.14964.
  • Fajardo Pérez M, García Miguel FJ, Alfaro de la Torre P, López Álvarez S, Diéguez García P. Bloqueo de las ramas cutáneas laterales y anteriores de los nervios intercostales para analgesia de mama. Cir May Amb. 2012;17(3):95-104.
  • Diéguez García P, Fajardo Pérez M, López Álvarez S, Alfaro de la Torre P, Pensado Castiñeiras A. Abordaje guiado por ultrasonidos de los nervios intercostales en la línea media axilar para cirugía de mama no reconstructiva y de la axila. Rev Esp Anestesiol Reanim. 2013;60(7):365-70. DOI: 10.1016/j.redar.2013.04.002.
  • Diéguez P, Casas P, López S, Fajardo M. Ultrasound guided nerve block for breast surgery. Rev Esp Anestesiol Reanim 2016;63(3):159-67. DOI: 10.1016/j.redar.2015.11.003.
Fuente de los datos: Dialnet