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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.

Abstract
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


 
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How to Cite this Article
Pubmed Style

Pinto AS, Pereira JM, Marques RdS, Costa WS. Mediastinal mass with superior vena cava syndrome and bilateral internal jugular vein thrombosis. Int J Med Rev Case Rep. 2022; 6(8): 42-42. doi:10.5455/IJMRCR.172-1642265718


Web Style

Pinto AS, Pereira JM, Marques RdS, Costa WS. Mediastinal mass with superior vena cava syndrome and bilateral internal jugular vein thrombosis. https://www.mdpub.net/?mno=4934 [Access: June 12, 2022]. doi:10.5455/IJMRCR.172-1642265718


AMA (American Medical Association) Style

Pinto AS, Pereira JM, Marques RdS, Costa WS. Mediastinal mass with superior vena cava syndrome and bilateral internal jugular vein thrombosis. Int J Med Rev Case Rep. 2022; 6(8): 42-42. doi:10.5455/IJMRCR.172-1642265718



Vancouver/ICMJE Style

Pinto AS, Pereira JM, Marques RdS, Costa WS. Mediastinal mass with superior vena cava syndrome and bilateral internal jugular vein thrombosis. Int J Med Rev Case Rep. (2022), [cited June 12, 2022]; 6(8): 42-42. doi:10.5455/IJMRCR.172-1642265718



Harvard Style

Pinto, A. S., Pereira, . J. M., Marques, . R. d. S. & Costa, . W. S. (2022) Mediastinal mass with superior vena cava syndrome and bilateral internal jugular vein thrombosis. Int J Med Rev Case Rep, 6 (8), 42-42. doi:10.5455/IJMRCR.172-1642265718



Turabian Style

Pinto, Andre Santos, Jose Morgado Pereira, Rita dos Santos Marques, and Wildemar Santos Costa. 2022. Mediastinal mass with superior vena cava syndrome and bilateral internal jugular vein thrombosis. International Journal of Medical Reviews and Case Reports, 6 (8), 42-42. doi:10.5455/IJMRCR.172-1642265718



Chicago Style

Pinto, Andre Santos, Jose Morgado Pereira, Rita dos Santos Marques, and Wildemar Santos Costa. "Mediastinal mass with superior vena cava syndrome and bilateral internal jugular vein thrombosis." International Journal of Medical Reviews and Case Reports 6 (2022), 42-42. doi:10.5455/IJMRCR.172-1642265718



MLA (The Modern Language Association) Style

Pinto, Andre Santos, Jose Morgado Pereira, Rita dos Santos Marques, and Wildemar Santos Costa. "Mediastinal mass with superior vena cava syndrome and bilateral internal jugular vein thrombosis." International Journal of Medical Reviews and Case Reports 6.8 (2022), 42-42. Print. doi:10.5455/IJMRCR.172-1642265718



APA (American Psychological Association) Style

Pinto, A. S., Pereira, . J. M., Marques, . R. d. S. & Costa, . W. S. (2022) Mediastinal mass with superior vena cava syndrome and bilateral internal jugular vein thrombosis. International Journal of Medical Reviews and Case Reports, 6 (8), 42-42. doi:10.5455/IJMRCR.172-1642265718