Key result
Six courses of ABVD treatment resolve truncal collateral vessels in a single patient.
Case Report (n=1)
Highlights a severe presentation of SVC syndrome with extensive chest wall collateral vessels due to a huge mediastinal Hodgkin lymphoma.
Answers are grounded in this paper and cite their sources.
Prompts vigilance for lymphoma in severe SVC syndrome; single case leaves open generalizability to management.
A 47-year-old man was referred to our hospital because of dyspnea, cough and weight loss. On physical examination, marked dilatation of thoraco-superficial epigastric venous anastomosis was found. The chest wall collateral vessels revealed enlarged head-to-toe flow, suggesting complete obstruction of the SVC and one or more of the major caval tributaries, including the azygos system. Thoracic CT demonstrated that a huge anterior mediastinal tumor completely obstructed the superior vena cava. He was diagnosed with Hodgkin lymphoma of the nodular sclerosis type, Stage III(X)B based on the biopsy specimen from the right subcutaneous lumbodorsal mass.
No takes yet. Share an insight, caveat, or question.
Saraya et al. (2008) conducted a case report in Hodgkin lymphoma with SVC syndrome (n=1). ABVD (Doxorubicin, Bleomycin, Vinblastine, Dacarbazine) was evaluated on Clinical response. The patient responded well to 6 courses of ABVD treatment, resulting in the disappearance of the collateral vessels on his trunk.
Synapse has enriched 10 related papers. Consider them for comparative context: