Nomori H, Nara S, Morinaga S, Soejima K
Department of Surgery, Saiseikai Central Hospital, Tokyo Metropolitan Hiroo Hospital, Japan.
Ann Thorac Surg. 1998 Oct;66(4):1423-4. doi: 10.1016/s0003-4975(98)00641-9.
A 78-year-old woman suffered from superior vena cava (SVC) syndrome. Computed tomography and angiography revealed a mass within the SVC. The SVC was resected via median sternotomy, followed by reconstruction using an artificial graft. The resected specimen showed a polypoid tumor within the SVC that had invaded the wall of the SVC. Histologic diagnosis was diffuse large-cell non-Hodgkin's lymphoma. Most surrounding lymph nodes showed reactive swelling, but one showed a partial microscopic metastasis. These pathologic findings indicated that the tumor was an SVC-originating malignant lymphoma. The patient is now alive and tumor-free 65 months after the operation.
一名78岁女性患有上腔静脉（SVC）综合征。计算机断层扫描和血管造影显示上腔静脉内有一个肿块。通过正中胸骨切开术切除上腔静脉，随后用人造移植物进行重建。切除的标本显示上腔静脉内有一个息肉样肿瘤，已侵犯上腔静脉壁。组织学诊断为弥漫性大细胞非霍奇金淋巴瘤。大多数周围淋巴结表现为反应性肿大，但有一个显示有部分微观转移。这些病理结果表明该肿瘤是起源于上腔静脉的恶性淋巴瘤。患者术后65个月仍存活且无肿瘤。
