May M, Seehafer M, Helke C, Uberrück T, Gunia S, Hoschke B
Urologische Klinik, CTK, Cottbus.
Urologe A. 2003 Oct;42(10):1374-7. doi: 10.1007/s00120-003-0401-9.
At present thrombosis of the superior vena cava is an uncommon event that is now more frequently associated with diagnostic or therapeutic catheterization. If an apparent spontaneous thrombosis occurs, malignancy should be considered in the differential diagnosis. One case of clinically symptomatic thrombosis of the internal jugular, subclavian, and superior vena cava is presented. We detected an asymptomatic left renal cell carcinoma in a 54-year-old patient and nephrectomy was performed. Increased blood coagulability as part of a paraneoplastic syndrome was considered to be the possible etiology. In patients with otherwise unexplained superior vena cava thrombosis, examination not only of the head and neck but also of the abdomen, retroperitoneum, and pelvis should be pursued. A review of the literature pertinent to this rare case is provided.
目前，上腔静脉血栓形成是一种罕见事件，现在更常与诊断性或治疗性导管插入术相关。如果出现明显的自发性血栓形成，在鉴别诊断中应考虑恶性肿瘤。本文报告一例颈内静脉、锁骨下静脉和上腔静脉临床症状性血栓形成的病例。我们在一名54岁患者中检测到无症状性左肾细胞癌并进行了肾切除术。作为副肿瘤综合征一部分的血液凝固性增加被认为是可能的病因。在患有其他原因不明的上腔静脉血栓形成的患者中，不仅应检查头颈部，还应检查腹部、腹膜后和骨盆。本文提供了与这一罕见病例相关的文献综述。
