UMEM Educational Pearls

Category: Misc

Title: SVC Syndrome...when to suspect

Keywords: superior vena cava, svc syndrome (PubMed Search)

Posted: 5/20/2008 by Rob Rogers, MD (Updated: 10/18/2019)
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Superior Vana Cava Synrome....when to suspect

 

Two common causes of SVC syndrome include thrombus (secondary to CV catheters) and lung tumors/lymphoma

Consider this diagnosis in patients with a history of cancer and/or who have a central line in place and the complaint of facial swelling. Patients may not look swollen to you.

In addition, make sure to look at their necks and chest wall-presence of asymmetric, prominent veins should prompt consideration for this diagnosis. 

A useful clinical tool is to look at the patient's driver's license (assuming they have one) and compare to their appearance on presentation.

Workup in most cases will involve a CT of the chest.

References

 Clinical Oncology, 2007