Perioperative Management of Metastatic Paraganglioma-Pheochromocytoma of the Humerus with the Aid of Regional Anesthesia
A 38-year-old female with a past history of pheochromocytoma and subsequent malignant paraganglioma presented with right arm pain after a fall. Imaging demonstrated a malunited humeral shaft associated with a large cortical destructive lesion and extraosseous extension. Here, we report the use of a...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Anesthesiology |
| Online Access: | http://dx.doi.org/10.1155/2020/2482793 |
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| author | Iyabo O. Muse Kumar Vivek Noah A Bloomgarden Amit Singla David S. Geller |
| author_facet | Iyabo O. Muse Kumar Vivek Noah A Bloomgarden Amit Singla David S. Geller |
| author_sort | Iyabo O. Muse |
| collection | DOAJ |
| description | A 38-year-old female with a past history of pheochromocytoma and subsequent malignant paraganglioma presented with right arm pain after a fall. Imaging demonstrated a malunited humeral shaft associated with a large cortical destructive lesion and extraosseous extension. Here, we report the use of a multidisciplinary team approach including an endocrinologist, anesthesiologist, and orthopedic surgeon in the perioperative management of a patient with metastatic paraganglioma undergoing a surgical resection of the humerus, internal fixation, reconstruction, and placement of endoprosthesis. The challenges of perioperative anesthetic management and the use of regional anesthesia, especially peripheral nerve block for perioperative pain management, are highlighted. |
| format | Article |
| id | doaj-art-c4b5658b187d4aa58d1e31c5faaee40a |
| institution | DOAJ |
| issn | 2090-6382 2090-6390 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Anesthesiology |
| spelling | doaj-art-c4b5658b187d4aa58d1e31c5faaee40a2025-08-20T03:23:06ZengWileyCase Reports in Anesthesiology2090-63822090-63902020-01-01202010.1155/2020/24827932482793Perioperative Management of Metastatic Paraganglioma-Pheochromocytoma of the Humerus with the Aid of Regional AnesthesiaIyabo O. Muse0Kumar Vivek1Noah A Bloomgarden2Amit Singla3David S. Geller4Department of Anesthesiology, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York, USADepartment of Anesthesiology, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York, USADepartment of Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York, USADepartment of Orthopedic Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York, USADepartment of Orthopedic Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York, USAA 38-year-old female with a past history of pheochromocytoma and subsequent malignant paraganglioma presented with right arm pain after a fall. Imaging demonstrated a malunited humeral shaft associated with a large cortical destructive lesion and extraosseous extension. Here, we report the use of a multidisciplinary team approach including an endocrinologist, anesthesiologist, and orthopedic surgeon in the perioperative management of a patient with metastatic paraganglioma undergoing a surgical resection of the humerus, internal fixation, reconstruction, and placement of endoprosthesis. The challenges of perioperative anesthetic management and the use of regional anesthesia, especially peripheral nerve block for perioperative pain management, are highlighted.http://dx.doi.org/10.1155/2020/2482793 |
| spellingShingle | Iyabo O. Muse Kumar Vivek Noah A Bloomgarden Amit Singla David S. Geller Perioperative Management of Metastatic Paraganglioma-Pheochromocytoma of the Humerus with the Aid of Regional Anesthesia Case Reports in Anesthesiology |
| title | Perioperative Management of Metastatic Paraganglioma-Pheochromocytoma of the Humerus with the Aid of Regional Anesthesia |
| title_full | Perioperative Management of Metastatic Paraganglioma-Pheochromocytoma of the Humerus with the Aid of Regional Anesthesia |
| title_fullStr | Perioperative Management of Metastatic Paraganglioma-Pheochromocytoma of the Humerus with the Aid of Regional Anesthesia |
| title_full_unstemmed | Perioperative Management of Metastatic Paraganglioma-Pheochromocytoma of the Humerus with the Aid of Regional Anesthesia |
| title_short | Perioperative Management of Metastatic Paraganglioma-Pheochromocytoma of the Humerus with the Aid of Regional Anesthesia |
| title_sort | perioperative management of metastatic paraganglioma pheochromocytoma of the humerus with the aid of regional anesthesia |
| url | http://dx.doi.org/10.1155/2020/2482793 |
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