Esposito Kathryn D, Shariff Masood A, Freiberg Aubrey, Evangelista Ma Carla Angela
Internal Medicine, St. George's University School of Medicine, St. George's, GRD.
Internal Medicine, NYC Health + Hospitals/Lincoln, Bronx, USA.
Cureus. 2022 Aug 11;14(8):e27889. doi: 10.7759/cureus.27889. eCollection 2022 Aug.
Superior vena cava (SVC) syndrome is an oncologic emergency of venous congestion due to impaired venous flow through the SVC to the right atrium, leading to potential hemodynamic instability. We report a case of a 78-year-old female patient with a non-symptomatic lung nodule that exhibited rapid growth from its discovery to an enlarging tumor impinging the SVC in less than one month. The short time span from computed tomography (CT) image of the tumor to oncologic emergency required our team to act quickly to identify the source of the tumor and halt its progression, utilizing a multidisciplinary team approach while dealing with a patient that executed their right of autonomy to refusal of care, thus focusing on management with palliative goals since SVC syndrome has a life expectancy of six months post-diagnosis.
上腔静脉（SVC）综合征是一种肿瘤急症，由于经上腔静脉至右心房的静脉血流受损导致静脉充血，进而可能引发血流动力学不稳定。我们报告一例78岁女性患者，其肺部有一个无症状结节，从发现到在不到一个月的时间内迅速生长为一个增大的肿瘤并压迫上腔静脉。从肿瘤的计算机断层扫描（CT）图像到肿瘤急症的时间跨度很短，这要求我们的团队迅速采取行动，确定肿瘤来源并阻止其进展，采用多学科团队方法，同时应对一位行使自主拒绝治疗权利的患者，因此由于上腔静脉综合征诊断后的预期寿命为6个月，故重点是进行姑息治疗。
