Juimo A G, Temdemno A M, Tapko J B, Yomi J, Teyang A, Tagny G, Tchokoteu P F, Lysinge A, Pagbe J J, Mbakop A
Department of Radiology, Yaounde General Hospital, Faculty of Medicine and Biomedical Science, University of Yaoundé, Cameroon.
Angiology. 1997 Mar;48(3):263-8. doi: 10.1177/000331979704800310.
Superior vena cava thrombosis (SVCT) is a rare pathology, though of great significance since it implies the development of a malignant process. The most common etiologies are basically bronchopulmonary and mediastinal tumors. Observations involving 2 patients presenting with superior vena cava syndrome (SVCS) are reported in this study, in which radiologic investigations (chest roentgenogram, computed tomography scan of the thorax, and superior vena cavography) revealed thrombosis of the SVC disclosing in both cases a non-Hodgkin's lymphoma. The first case was a mediastinal Burkitt's lymphoma in a thirty-eight-year-old man (exceptional form) and in the second case a lymphoblastic non-Hodgkin's lymphoma in a nine-year-old girl. In the patient with Burkitt's lymphoma healing was satisfactory twenty-four months after treatment by surgery, chemotherapy, and radiotherapy. The second patient died suddenly. In both cases the SVCT revealed the tumor. The causes of SVCT are reviewed and discussed.
上腔静脉血栓形成（SVCT）是一种罕见的病症，尽管意义重大，因为它意味着恶性病变的发展。最常见的病因主要是支气管肺和纵隔肿瘤。本研究报告了2例表现为上腔静脉综合征（SVCS）的病例，其中放射学检查（胸部X线片、胸部计算机断层扫描和上腔静脉造影）显示上腔静脉血栓形成，两例均为非霍奇金淋巴瘤。第一例是一名38岁男性的纵隔伯基特淋巴瘤（罕见类型），第二例是一名9岁女孩的淋巴母细胞性非霍奇金淋巴瘤。患有伯基特淋巴瘤的患者在接受手术、化疗和放疗治疗24个月后愈合情况良好。第二例患者突然死亡。在这两例中，上腔静脉血栓形成均揭示了肿瘤。对上腔静脉血栓形成的病因进行了回顾和讨论。
