BREAST CANCER SURGERY UNDER GENERAL ANAESTHESIA IN AN NONAGENRIAN MALE WITH A PACEMAKER

Abstract

Worldwide, breast cancer is the most common cancer. Male breast cancer (MBC) in men is still an uncommon and largely understudied disease. This disease makes up <1% of breast cancers in humans. In both males and females, breast cancer has been associated with high mortality rates. More than 80% of patients diagnosed with breast cancer will undergo surgery as part of their treatment and in most cases; surgery is performed under general anaesthesia. However, the coexistence of significant cardiac comorbidities further complicates the diagnostic and therapeutic approach of breast cancer in the elderly.

This case report describes the presentation, diagnostic journey, and the anaesthetic and surgical management of breast cancer in a 92-year-old male with a significant cardiac morbidity that impacts with the quality of life of the patient. The report also highlights the challenges associated with the intraoperative anaesthetic and postoperative pain management of the patient. It emphasizes the importance of multispecialty collaboration and the development of adjuvant treatments which are tailor made for the patient.