title: Huge mediastinal mass with SVC syndrome accompanying numerous chest wall collateral vessels.
abstract: 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.
authors.affiliation: Department of Respiratory Medicine, Kyorin University School of Medicne, Mitaka.
authors.forename: Takeshi
authors.initials: T
authors.lastname: Saraya
authors.forename: Chie
authors.initials: C
authors.lastname: Shimura
authors.forename: Shinichiro
authors.initials: S
authors.lastname: Mikura
authors.forename: Tetsuo
authors.initials: T
authors.lastname: Yasutake
authors.forename: Jundai
authors.initials: J
authors.lastname: Kato
authors.forename: Takuma
authors.initials: T
authors.lastname: Yokoyama
authors.forename: Daisuke
authors.initials: D
authors.lastname: Kurai
authors.forename: Takashi
authors.initials: T
authors.lastname: Fujino
authors.forename: Kenichi
authors.initials: K
authors.lastname: Yokoyama
authors.forename: Go
authors.initials: G
authors.lastname: Furuyashiki
authors.forename: Hiroo
authors.initials: H
authors.lastname: Wada
authors.forename: Haruyuki
authors.initials: H
authors.lastname: Ishii
authors.forename: Hajime
authors.initials: H
authors.lastname: Goto
mesh_terms: D003097:Collateral Circulation; D006689:Hodgkin Disease / Q000150:complications* / Q000175:diagnosis*; D006801:Humans; D008297:Male; D008479:Mediastinal Neoplasms / Q000150:complications* / Q000175:diagnosis*; D008875:Middle Aged; D013479:Superior Vena Cava Syndrome / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000209:etiology*; D035441:Thoracic Wall / Q000098:blood supply; D014057:Tomography, X-Ray Computed