Thomas S, Sawhney S, Kapur B M
Department of Surgery, All India Institute of Medical Sciences, New Delhi.
Clin Radiol. 1991 Jun;43(6):433-4. doi: 10.1016/s0009-9260(05)80580-x.
Superior vena cava syndrome, an uncommon manifestation of carcinoma of the thyroid, is usually due to retrosternal extension of the growth. Rarely, however, there may be direct tumour extension into the great veins of the neck, which may cause sudden death. Only eight such cases have been reported in the English literature. The case reported by us is the first to be documented by computed tomography. Patients with carcinoma of the thyroid with the superior vena cava syndrome should undergo computed tomography to differentiate external compression due to goitre from intraluminal tumour.
上腔静脉综合征是甲状腺癌的一种罕见表现，通常是由于肿瘤向胸骨后延伸所致。然而，极少数情况下，肿瘤可能直接蔓延至颈部大静脉，这可能导致猝死。英文文献中仅报道过8例此类病例。我们报道的这例是首例经计算机断层扫描记录的病例。患有甲状腺癌并伴有上腔静脉综合征的患者应接受计算机断层扫描，以区分甲状腺肿引起的外部压迫与腔内肿瘤。
