放射性上腔静脉综合征。
Radiation-induced SVC syndrome.
作者信息
Mehta Sahil Viplov, Koo Douglas Junwoo
机构信息
Department of Radiology, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.
出版信息
BMJ Case Rep. 2014 Feb 19;2014:bcr2013203446. doi: 10.1136/bcr-2013-203446.
Abstract
A 69-year-old woman with a history of Hodgkin's lymphoma at age 17 was admitted to our hospital with 3 weeks of progressive dyspnoea on exertion. Her medical history and physical exam were concerning for superior vena cava (SVC) syndrome and while her workup did indeed reveal such, its aetiology was not due to a compressive mass associated with malignancy. Rather, she developed chronic thromboses in the setting of radiation-induced venous fibrosis. This case report details her case and explains the key clinical concerns, pathophysiology and incidence of radiation-induced SVC syndrome.
摘要
一名69岁女性，17岁时曾患霍奇金淋巴瘤，因进行性劳力性呼吸困难3周入院。她的病史和体格检查提示存在上腔静脉（SVC）综合征，进一步检查确实证实了这一点，但其病因并非与恶性肿瘤相关的压迫性肿块。相反，她在放疗引起的静脉纤维化基础上发生了慢性血栓形成。本病例报告详细介绍了她的病例，并解释了放射性SVC综合征的关键临床问题、病理生理学和发病率。
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