Home|Journals|Articles by Year|Audio Abstracts


Mediastinal mass with superior vena cava syndrome and bilateral internal jugular vein thrombosis

Andre Santos Pinto, Jose Morgado Pereira, Rita dos Santos Marques, Wildemar Santos Costa.

Cited by 0 Articles

A 60-year-old former smoker male presented to the emergency department due to fatigue, weight loss of >10kg in the previous month, and increased cervical circumference. On physical examination, he had asymmetry of the neck, with right jugular vein engorgement and a supraclavicular petrous mass.
A CT scan of the neck and chest identified a lobulated mass of 5.1cm, suggestive of an adenopathy conglomerate (Fig 1), a reduction in the lumen of the superior vena cava (Fig 1) and filling defects of the left brachiocephalic, right subclavian veins and bilateral internal jugular veins (Fig 2 and 3) – according to a Superior Vena Cava Syndrome (SVCS).
The biopsy of the paratracheal mass revealed a lymph node metastasis from a primary adenocarcinoma of the lung. At this stage of the disease, he was proposed for palliative radiotherapy.
Considered an oncological emergency, requiring immediate radiotherapy in most cases, the treatment of malignant SVCS focuses on relieving symptoms and treating the underlying disease, with other therapeutic alternatives in addition to radiotherapy. This case is intended to focus on its diagnosis and to illustrate an unusual presentation with a massive bilateral extension.

Key words: Superior Vena Cava Syndrome, Bilateral internal jugular vein thrombosis, Mediastinal mass

Full-text options

Share this Article

Online Article Submission
• ejmanager.com

ejPort - eJManager.com
Refer & Earn
About BiblioMed
License Information
Terms & Conditions
Privacy Policy
Contact Us

The articles in Bibliomed are open access articles licensed under Creative Commons Attribution 4.0 International License (CC BY), which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.