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Superior Vena Cava Thrombosis in a Case of Lung Adenocarcinoma

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Author(s): Santanu Ghosh | Kaushik Saha | Arnab Saha | Mrinmoy Mitra

Journal: Middle East Journal of Cancer
ISSN 2008-6709

Volume: 4;
Issue: 1;
Start page: 39;
Date: 2013;
Original page

Keywords: Adenocarcinoma | Lung | Superior vena cava | Thrombosis

ABSTRACT
Superior vena cava syndrome is a common presentation of bronchogenic carcinoma. The mechanism of obstruction is by compression of superior vena cava by the bronchogenic tumor itself or enlarged mediastinal lymph nodes. However obstruction due to intravascular thrombosis is extremely uncommon. Here, we report a rare case of a 65-year-old male smoker who presented with superior vena cava syndrome and bilateral pleural and pericardial effusion with thrombotic occlusion of the superior vena cava in adenocarcinoma of the lung. He was given chemotherapy with carboplatin and gemcitabine with anticoagulant therapy.
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