Kessler Sáiz P, Olmedo Moreno M, Jareño Chaumel J, Pascual Cuesta T
An Med Interna. 1989 Sep;6(9):479-80.
A case of superior vena cava syndrome in an 82-year-old woman who had been suffering from multinodular hyperfunctioning goiter for a long time is presented. The goiter was partially intrathoracic, benign, but affecting the superior mediastinum. The patient decided not to be operated on because of personal fears and the slow growth produced developments of collateral prethoracic circulation. The etiology of superior vena cava syndrome is of malignant tumor origin in 95% of cases. This case is presented because of its rareness, and the literature is reviewed.
本文报告了一例82岁长期患有多结节高功能甲状腺肿的女性患者出现上腔静脉综合征的病例。甲状腺肿部分位于胸腔内,为良性,但影响上纵隔。由于个人恐惧以及胸壁侧支循环的缓慢发展,患者决定不接受手术。上腔静脉综合征的病因在95%的病例中源于恶性肿瘤。由于该病例罕见,故予以报告并复习相关文献。