SVC Obstruction Flashcards
1
Q
Definition
A
Oncological emergency due to compression of SVC
- 80% lung cancer
- 17% lymphoma
2
Q
Clinical Features
A
- SOB
- Face, neck, arm swelling
- Periorbital swelling
- Headache
- Visual disturbances
- Pulseless jugular venous distension
3
Q
Investigations
A
If subtle
CXR
CT
MRI
4
Q
Management
A
Dexamethasone 4mg QDS
Chemotherapy (SCC and lymphoma)
Radiotherapy (squamous cell carcinoma)
Superior vena cava stent insertion (palliative only)