La forma de presentación puede ser aguda, caracterizándose clínicamente por disnea y la triada característica (edema en esclavina, cianosis facial y presencia . A Síndrome da Veia Cava Superior (SVCS) é caracterizada pela obstrução do fluxo sanguíneo Edema no rosto (pletora facial) matutino,; Edema de pescoço e braços,; Dificuldade para respirar,; Ingurgitamento de vasos cervicais,; Dor. Translation of esclavina | Se les facilitará toga, birrete y esclavina para toma de fotos.
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We describe the case of a year-old male who was admitted with clinical signs of superior vena cava syndrome SVCS. Physical examination showed collar of Stokes and extensive collateral circulation in the neck and anterosuperior thoracic region, as well as a large testicular mass. Fibrobronchoscopy revealed an endobronchial tumor, histopathologically diagnosed as seminoma, with the same characteristics as the testicular biopsy.
Treatment was initiated with surgery, chemotherapy and radiotherapy, resulting in ewclavina major clinical improvement. We indicate the importance of considering SVCS as an entity related with less common neoplasms such as germ cell tumors. He came to our clinic complaining of dyspnea on heavy exertion which had worsened to dyspnea on minimal exertion two weeks previously, accompanied by weight loss in the last year, and painless enlargement of the right testicle rn the last 4 esdlavina.
He also reported headache and swelling of the right hemithorax, neck and face. Notable findings on physical examination esclavinw central cyanosis, exophthalmos, conjunctival injection, jugular ingurgitation, facial and upper extremity edema and collateral circulation in the neck and right hemithorax.
cianosis en escalvina | Spanish to English | Medical (general)
The chest X-ray showed displacement of the right esclabina line due to a mediastinal mass, and a 4. Thrombosis of the esc,avina lower pulmonary artery was also observed Fig. There was collateral circulation through the azygos system secondary to vena cava thrombosis.
Also shown is left inguinal adenopathy. B Right mediastinal, hilar and infrahilar mass accompanied by another mass in right upper lobe measuring 4. B Tumor infiltration of mucosa of middle lobe bronchus by seminoma edeam.
Fiberoptic bronchoscopy revealed hypervascularization and displacement of the lower and middle third of the trachea and a whitish vascularized tumor in middle lobe bronchus Fig.
Respiratory function tests showed FVC: Arterial blood gases FiO 2 0. Tumor markers were as follows: Testicular biopsy was compatible with extensively necrotic seminoma. Bronchial biopsies were also compatible with primary tumor metastasis.
The immunohistochemical pattern showed placental alkaline phosphatase, positive c-Kit CDfocal positive vimentin, and negative keratin, EMA, CD30, and p The definitive diagnosis was stage IIIC seminoma pT4N3M1b with bronchial metastases, superior vena cava syndrome and pulmonary thromboembolism. Following anticoagulation, dexamethasone and emergency radiotherapy to a total of Gy, clinical symptoms improved in a week, with nearly complete resolution of collateral circulation.
Orchiectomy was deferred for 2 months.
The patient received 4 cycles of cisplatin plus etoposide on an outpatient basis. Testicular carcinoma has an annual incidence of 6.
Síndrome da veia cava superior – Wikipédia, a enciclopédia livre
If obstruction is above the azygos vein, clinical symptoms are less obvious. However, obstruction below the azygos vein gives rise to extensive collateral circulation, ascites and even edema in the lower extremities. Eclavina typical symptoms of SVCS consist of headache, accompanied by somnolence, vertigo, cyanosis of the skin and mucous membranes of face, neck and upper extremities, conjunctival hemorrhage, facial and upper extremity edema, neck vein distention, collateral circulation in the chest wall, and even Esclavia syndrome.
The authors conclude that if SVCS is observed in young males, germ cell carcinoma should be considered in the differential diagnosis, even in the absence of such a florid presentation as was observed in this case. Please cite this article as: Pedro LandeteEusebi Chiner??
We indicate the importance of considering SVCS as an entity related with less common neoplasms such as germ cell tumors. Superior vena cava syndrome. B Tumor infiltration of mucosa of middle lobe bronchus by seminoma metastasis.
A contemporary review of a historic disease. Cardiol Rev, 17pp. Superior vena cava syndrome with malignant causes. N Engl J Med,pp. EAU guidelines on testicular cancer: Eur Urol, 60pp. Healing of superior vena cava defect in mediastinal seminoma with invasion.
Ann Thorac Surg, 70eaclavina. Endobronchial mestastasis from testicular seminoma. Med Princ Pract, 17pp. Schwannoma bronquial, un tumor poco Si continua navegando, consideramos que acepta su uso.
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