Cosmo L, Haponik E F, Darlak J J, Summer W R
Am J Med Sci. 1987 Feb;293(2):99-102. doi: 10.1097/00000441-198702000-00006.
Obstruction of the superior vena cava arises from a spectrum of etiologies that include both benign and malignant conditions. Therefore, management of this serious disorder varies and depends on the underlying cause. Pursuit of a histologic diagnosis with invasive procedures has been associated with a wide range of diagnostic yields and complications. Percutaneous fine-needle aspiration biopsy has been shown to be highly reliable and well tolerated in the diagnosis of a variety of mediastinal and lung masses. Three patients are presented with obstruction of the superior vena cava in whom computed tomography safely guided percutaneous needle biopsy in obtaining a correct histologic diagnosis. It appears that transthoracic percutaneous needle aspiration biopsy is safe and efficacious in patients with superior vena cava syndrome, but further experience with this increasingly available procedure is warranted.
上腔静脉阻塞由一系列病因引起，包括良性和恶性疾病。因此，这种严重疾病的治疗方法各不相同，取决于潜在病因。通过侵入性手术寻求组织学诊断，其诊断率和并发症范围广泛。经皮细针穿刺活检已被证明在诊断各种纵隔和肺部肿块时高度可靠且耐受性良好。本文介绍了3例上腔静脉阻塞患者，在计算机断层扫描安全引导下经皮穿刺活检获得了正确的组织学诊断。经胸壁经皮针吸活检对上腔静脉综合征患者似乎是安全有效的，但对于这种越来越常用的手术，仍需要积累更多经验。
