Authors: | Wilson, L. D.; Detterbeck, F. C.; Yahalom, J. |
Article Title: | Superior vena cava syndrome with malignant causes |
Abstract: | A 58-year-old man presents with a 2-week history of progressive dyspnea on exertion, neck swelling, decreased appetite, and fatigue. There is no history of syncope or dysphagia. He smoked cigarettes until 5 years ago. The physical examination reveals a heart rate of 105 beats per minute, a respiratory rate of 20 breaths per minute, and superficial vascular distention over the neck, chest, and upper abdomen. Stridor is not present. How should his case be evaluated and managed? Copyright © 2007 Massachusetts Medical Society. All rights reserved. |
Keywords: | cancer chemotherapy; treatment response; middle aged; clinical feature; clinical trial; fatigue; pathogenesis; review; anamnesis; cigarette smoking; cancer radiotherapy; antineoplastic agent; edema; computer assisted tomography; controlled clinical trial; randomized controlled trial; lung neoplasms; tomography, x-ray computed; dexamethasone; anticoagulant therapy; histology; physiology; dyspnea; radiography, thoracic; imaging system; lung tumor; abdomen; clinical evaluation; stent; malignant neoplastic disease; thorax radiography; physical examination; bypass surgery; mediastinum tumor; mediastinal neoplasms; diuretic agent; vascular disease; anticoagulant agent; superior cava vein syndrome; thorax; decreased appetite; swelling; heart rate; stridor; vignette; superior cava vein; vena cava, superior; breathing rate; neck swelling; vascular distention; superior vena cava syndrome |
Journal Title: | New England Journal of Medicine |
Volume: | 356 |
Issue: | 18 |
ISSN: | 0028-4793 |
Publisher: | Massachusetts Medical Society |
Date Published: | 2007-05-03 |
Start Page: | 1862 |
End Page: | 1869 |
Language: | English |
DOI: | 10.1056/NEJMcp067190 |
PUBMED: | 17476012 |
PROVIDER: | scopus |
DOI/URL: | |
Notes: | --- - "Cited By (since 1996): 57" - "Export Date: 17 November 2011" - "CODEN: NEJMA" - "Source: Scopus" |