Superior Venal Caval Obstruction Flashcards Preview

Oncological Emergencies > Superior Venal Caval Obstruction > Flashcards

Flashcards in Superior Venal Caval Obstruction Deck (5)
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1
Q

What is the cause of this condition?

A

Bronchogenic carcinoma - small cell Lung Ca
Lymphoma
Metastatic tumors
SVC thrombosis and mediastinal fibrosis

2
Q

What re the 4 main features of this condition?

A

Facial swelling and fullness of the head
Arm swelling
Dysphagia and dyspnoea
Weight loss and anorexia

3
Q

What are the examination findings?

A
Distention of neck and chest wall veins
Fixed (i.e. non-pulsatile) elevated JVP
Facial oedema/puffiness
Oedema of the arms
Plethora of face
Peripheral cyanosis
4
Q

What are the 5 main investigations?

A

If new presentation of malignancy then station, biopsy etc
CXR
CT
Superior venogram
Bronchoscopy if primary lung cancer suspected

5
Q

What are the management options? (5)

A

Sterior and supportive
Radio/chemotherapy
Stenting of SVC for benign cuases
Thrombolysis and anticoagulation if thrombosis of SVC
Remove catheter if catheter induced SVC thrombosis