A CASE OF PHYLLODES TUMOUR DONE UNDER CONTINOUS THORACIC EPIDURALANAESTHESIA IN A SIX MONTHS PREGNANT FEMALE

Abstract

Phyllodes tumor is a rare neoplasm of female breast have its origin from the broepithelial cells of breast. It predominantly occur in females (0.3- 0.5%). Phyllodes in pregnancy are larger in size and rapidly growing may be because of the inuence of pregnancy hormones on the female breast tissues. A 22 year old female with six months of pregnancy with phyllodes tumor of right breast was posted for wide local excision and reconstruction of defect using latissimus dorsi myocutaneous ap. She had presented with swelling of approximately 24cm X10cm X 6cm in her right breast which developed pain since last eight days. She was maintained on the intravenous injection duvadilan (isoxsuprine) 80 mg 8 hourly for three days perioperatively for tocolysis. The case was done using thoracic epidural catheterization at T6-T7 interspace using 0.75% ropivacaine with no perioperative complications. The choice of anesthetic technique for the emergency procedures in pregnancy will depend on the trimester and the type and duration of surgical procedure. Whenever possible, a regional anesthetic technique should be used.