Primary malignant lymphoma of superior vena cava.
A 78-year-old woman suffered from superior vena cava (SVC) syndrome. Computed tomography and angiography revealed a mass within the SVC. The SVC was resected via median sternotomy, followed by reconstruction using an artificial graft. The resected specimen showed a polypoid tumor within the SVC that had invaded the wall of the SVC. Histologic diagnosis was diffuse large-cell non-Hodgkin's lymphoma. Most surrounding lymph nodes showed reactive swelling, but one showed a partial microscopic metastasis. These pathologic findings indicated that the tumor was an SVC-originating malignant lymphoma. The patient is now alive and tumor-free 65 months after the operation.
Nomori
H
H
Department of Surgery, Saiseikai Central Hospital, Tokyo Metropolitan Hiroo Hospital, Japan.
Nara
S
S
Morinaga
S
S
Soejima
K
K
D000368:Aged; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D019917:Blood Vessel Prosthesis Implantation; D017024:Chemotherapy, Adjuvant; D005260:Female; D006801:Humans; D016403:Lymphoma, Large B-Cell, Diffuse / Q000150:complications / Q000601:surgery*; D013479:Superior Vena Cava Syndrome / Q000209:etiology*; D019043:Vascular Neoplasms / Q000150:complications / Q000601:surgery*