Hameed Ammar, Pahuja Ajay, Thwaini Ali, Nambirajan Thiagarajan
Department of Urology, Addenbrookes Hospital, Cambridge, UK;
Can Urol Assoc J. 2011 Apr;5(2):E27-8. doi: 10.5489/cuaj.10061.
Subclavian vein thrombosis is an uncommon clinical condition which is often associated with venous catheterization or secondary to excessive effort. We present a 54-year-old female with subclavian vein thrombosis as a first presentation of renal cell carcinoma. Although this is an unusual presentation, malignancy should be considered in the differential diagnosis. Hypercoagulability as part of a paraneoplastic syndrome was considered a possible etiology. In patients with otherwise unexplained subclavian vein thrombosis, full systemic examination and radiological evaluation of the abdomen, retroperitoneum and pelvis should be pursued. A review of the literature relevant to this unusual case is provided.
锁骨下静脉血栓形成是一种不常见的临床病症，常与静脉插管相关或继发于过度用力。我们报告一名54岁女性，以锁骨下静脉血栓形成为首发表现，最终诊断为肾细胞癌。尽管这是一种不寻常的表现，但在鉴别诊断时应考虑恶性肿瘤。作为副肿瘤综合征一部分的高凝状态被认为是一种可能的病因。对于不明原因的锁骨下静脉血栓形成患者，应进行全面的全身检查以及腹部、腹膜后和骨盆的影像学评估。本文提供了与该罕见病例相关的文献综述。
