SVC Obstruction Flashcards

1
Q

Definition

A

Oncological emergency due to compression of SVC

  • 80% lung cancer
  • 17% lymphoma
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2
Q

Clinical Features

A
  • SOB
  • Face, neck, arm swelling
  • Periorbital swelling
  • Headache
  • Visual disturbances
  • Pulseless jugular venous distension
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3
Q

Investigations

A

If subtle
CXR
CT
MRI

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4
Q

Management

A

Dexamethasone 4mg QDS
Chemotherapy (SCC and lymphoma)
Radiotherapy (squamous cell carcinoma)
Superior vena cava stent insertion (palliative only)

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