Superior Vena Cava Syndrome: An Uncommon Presentation of a Rare Colon Carcinoma Metastasis

Brazao, Sofia Gomes and Silva, Diana and Duarte, Joana and Bernardes, José and Verissimo, Manuel Teixeira and Carvalho, Armando (2019) Superior Vena Cava Syndrome: An Uncommon Presentation of a Rare Colon Carcinoma Metastasis. European Journal of Case Reports in Internal Medicine, 6 (5). ISSN 2284-2594

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Introduction:Superior vena cava (SVC) syndrome is caused by obstruction of the superior vena cava due to vascular compression by a mass or intrinsic obstruction. The authors describe SVC syndrome caused by an isolated metastatic mediastinal mass from a resected primary colon carcinoma. Case Report: An 81-year-old woman was referred to the hospital with swelling of the neck and upper left limb, dysphonia and dysphagia, associated with an involuntary weight loss of 16 kg. Mediastinal metastasis of colon adenocarcinoma was found, causing the SVC syndrome. The mass was unresectable and the patient was referred to palliative radiotherapy. Discussion: Only 12 cases of mediastinal metastasis from colorectal cancer have been reported in the English literature. Conclusion: As a rare manifestation of colorectal cancer, the presented case highlights the need for clinicians to be aware of rare metastases at the time of diagnosis.

Item Type: Article
Uncontrolled Keywords: Colon cancer, metastasis, mediastinal mass, subcutaneous nodules
Subjects: 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale) > 616.3 Malattie del sistema digerente
Depositing User: Sr. Francesco Bonaccorsi
Date Deposited: 15 Jan 2020 09:24
Last Modified: 15 Jan 2020 09:24

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