Huge mediastinal mass with SVC syndrome accompanying numerous chest wall collateral vessels.
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.
Saraya
Takeshi
T
Department of Respiratory Medicine, Kyorin University School of Medicne, Mitaka.
Shimura
Chie
C
Mikura
Shinichiro
S
Yasutake
Tetsuo
T
Kato
Jundai
J
Yokoyama
Takuma
T
Kurai
Daisuke
D
Fujino
Takashi
T
Yokoyama
Kenichi
K
Furuyashiki
Go
G
Wada
Hiroo
H
Ishii
Haruyuki
H
Goto
Hajime
H
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