RESUMO
Unique sternal metastasis is an uncommon finding in the follow-up of operated breast cancer. We present a case of massive sternal metastasis occurred few years after radical resection of a right mammary cancer, that we solved by total sternal resection and reconstruction of sternum with acrylic cement and Vicryl mesh. The patient is disease-free five years after the operation.
Assuntos
Neoplasias Ósseas/secundário , Neoplasias da Mama/cirurgia , Procedimentos de Cirurgia Plástica , Polimetil Metacrilato/farmacologia , Esterno/cirurgia , Neoplasias Ósseas/diagnóstico por imagem , Neoplasias Ósseas/patologia , Neoplasias da Mama/patologia , Intervalo Livre de Doença , Feminino , Humanos , Invasividade Neoplásica , Proteínas de Neoplasias/metabolismo , Tomografia por Emissão de Pósitrons combinada à Tomografia Computadorizada , Esterno/diagnóstico por imagem , Esterno/patologia , Adulto JovemRESUMO
General anesthesia is less utilized in ophthalmology. There are some criteria that lead to general anesthesia: patients with auditive debility, aged and senile patients, allergic patients, children and young patients, and subjects who totally refuse loco-regional procedures. General anesthesia utilizes as basic products: narcotic substances, analgesic substances, or neuroleptic substances utilized separately or associated, with posology adaptated to several factors: patients' pulse, physical statement, age, duration. The type of anesthetic substance depends also of specialist anesthetist experience.