[A rare cause of superior vena cava syndrome]

A Lepida; T Berghmans; J-P Sculier; A-P Meert

[A rare cause of superior vena cava syndrome]

Rev Med Brux. 2011 Sep-Oct;32(5):481-3.

[Article in French]

Authors

A Lepida¹, T Berghmans, J-P Sculier, A-P Meert

Affiliation

¹ Service des Soins Intensifs et Urgences Oncologiques, Institut Jules Bordet, Centre des Tumeurs de l'Université libre de Bruxelles.

PMID: 22165527

Abstract

A 85-year old patient with an history of low grade follicular lymphoma was admitted in the hospital with a superior vena cava (SVC) syndrome. The computed tomography scan of the thorax and the trans-esophageal echocardiography revealed a voluminous mass in the right atrium, extending to the origin of the SVC. A transvenous biopsy was done under echocardiographic control. The immunohistology showed a diffuse large B cell lymphoma. He received chemotherapy associating rituximab, doxorubicine, cyclophosphamide, vincristine and prednisone. The clinical response after the second cycle was remarkable with a near complete regression of the SVC syndrome. The tumor was no longer visible in imaging after four cycles of treatment.

Publication types

Case Reports
English Abstract

MeSH terms

Aged, 80 and over
Heart Atria / pathology
Heart Neoplasms / diagnosis*
Humans
Lymphoma, Large B-Cell, Diffuse / diagnosis*
Male
Superior Vena Cava Syndrome / etiology*