DOI QR코드

DOI QR Code

The Effect of Stellate Ganglion Block on Intractable Lymphedema after Breast Cancer Surgery

  • Kim, Jin (Department of Anesthesiology and Pain Medicine, School of Medicine, Ewha Womans University) ;
  • Park, Hahck Soo (Department of Anesthesiology and Pain Medicine, School of Medicine, Ewha Womans University) ;
  • Cho, Soo Young (Department of Anesthesiology and Pain Medicine, School of Medicine, Ewha Womans University) ;
  • Baik, Hee Jung (Department of Anesthesiology and Pain Medicine, School of Medicine, Ewha Womans University) ;
  • Kim, Jong Hak (Department of Anesthesiology and Pain Medicine, School of Medicine, Ewha Womans University)
  • 투고 : 2014.11.26
  • 심사 : 2014.12.10
  • 발행 : 2015.01.01

초록

Lymphedema of the upper limb after breast cancer surgery is a disease that carries a life-long risk and is difficult to cure once it occurs despite the various treatments which have been developed. Two patients were referred from general surgery department for intractable lymphedema. They were treated with stellate ganglion blocks (SGBs), and the circumferences of the mid-point of their each upper and lower arms were measured on every visit to the pain clinic. A decrease of the circumference in each patient was observed starting after the second injection. A series of blocks were established to maintain a prolonged effect. Both patients were satisfied with less swelling and pain. This case demonstrates the benefits of an SGB for intractable upper limb lymphedema.

키워드

참고문헌

  1. Smoot B, Wong J, Cooper B, Wanek L, Topp K, Byl N, et al. Upper extremity impairments in women with or without lymphedema following breast cancer treatment. J Cancer Surviv 2010; 4: 167-78. https://doi.org/10.1007/s11764-010-0118-x
  2. Kim HG, Kim K, Seo HG, Im CY, Kim TU, Chung SG, et al. Clinical outcomes of cervical stellate ganglion block in patients with secondary lymphedema: a pilot study. J Korean Acad Rehabil Med 2009; 33: 297-303.
  3. Hinrichs CS, Watroba NL, Rezaishiraz H, Giese W, Hurd T, Fassl KA, et al. Lymphedema secondary to postmastectomy radiation: incidence and risk factors. Ann Surg Oncol 2004; 11: 573-80. https://doi.org/10.1245/ASO.2004.04.017
  4. DiSipio T, Rye S, Newman B, Hayes S. Incidence of unilateral arm lymphoedema after breast cancer: a systematic review and meta-analysis. Lancet Oncol 2013; 14: 500-15. https://doi.org/10.1016/S1470-2045(13)70076-7
  5. McLaughlin SA, Wright MJ, Morris KT, Giron GL, Sampson MR, Brockway JP, et al. Prevalence of lymphedema in women with breast cancer 5 years after sentinel lymph node biopsy or axillary dissection: objective measurements. J Clin Oncol 2008; 26: 5213-9. https://doi.org/10.1200/JCO.2008.16.3725
  6. Ahmed RL, Prizment A, Lazovich D, Schmitz KH, Folsom AR. Lymphedema and quality of life in breast cancer survivors: the Iowa Women's Health Study. J Clin Oncol 2008; 26: 5689-96. https://doi.org/10.1200/JCO.2008.16.4731
  7. Moseley AL, Carati CJ, Piller NB. A systematic review of common conservative therapies for arm lymphoedema secondary to breast cancer treatment. Ann Oncol 2007; 18: 639-46.
  8. Ancukiewicz M, Miller CL, Skolny MN, O'Toole J, Warren LE, Jammallo LS, et al. Comparison of relative versus absolute arm size change as criteria for quantifying breast cancerrelated lymphedema: the flaws in current studies and need for universal methodology. Breast Cancer Res Treat 2012; 135: 145-52. https://doi.org/10.1007/s10549-012-2111-8
  9. Granzow JW, Soderberg JM, Kaji AH, Dauphine C. An effective system of surgical treatment of lymphedema. Ann Surg Oncol 2014; 21: 1189-94. https://doi.org/10.1245/s10434-014-3515-y
  10. Swedborg I, Arner S, Meyerson BA. New approaches to sympathetic blocks as treatment of postmastectomy lymphedema. Report of a successful case. Lymphology 1983; 16: 157-63.
  11. Woo JH, Park HS, Kim SC, Kim YH. The effect of lumbar sympathetic ganglion block on gynecologic cancer-related lymphedema. Pain Physician 2013; 16: 345-52.
  12. Yokoyama M, Nakatsuka H, Itano Y, Hirakawa M. Stellate ganglion block modifies the distribution of lymphocyte subsets and natural-killer cell activity. Anesthesiology 2000; 92: 109-15. https://doi.org/10.1097/00000542-200001000-00021
  13. Kim SH, Kim KN, Lee DG, Chae WS, Kim YI. Follow-up evaluation of the effect of stellate ganglion block using thermography. Korean J Pain 2006; 19: 115-8. https://doi.org/10.3344/kjp.2006.19.1.115
  14. Park YJ, Woo NS, Lee YC. Thermographic follow-up of the stellate ganglion block. Korean J Pain 1994; 7: 258-62.

피인용 문헌

  1. Evaluation of Lung Function and Clinical Features of the Ultrasound-Guided Stellate Ganglion Block With 2 Different Concentrations of a Local Anesthetic vol.124, pp.4, 2017, https://doi.org/10.1213/ANE.0000000000001945
  2. Efficacy and safety of stellate ganglion block in chronic ulcerative colitis vol.23, pp.3, 2017, https://doi.org/10.3748/wjg.v23.i3.533
  3. Ultrasound-Guided Thoracic Paravertebral Block as a Sympathetic Blockade for Upper Extremity Neuropathic Pain: A Prospective Pilot Study vol.13, pp.None, 2020, https://doi.org/10.2147/jpr.s285998