Thanks to Dr. Chris Fine who presented a fascinating case of SVC syndrome presenting with facial swelling, dyspnea, and myosis. Some take aways from his presentation:
- SVC syndrome can result from internal or external compression of the SVC
- Common etiologies include:
2) NSCLC (~50%), SCLC (~25%), NHL (~10%)
4) Thrombosis (esp. w/ indwelling device), fibrosing mediastinitis (fungal infxn), post-radiation fibrosis
- Clinical Manifestations include facial swelling (or “head fullness”), arm swelling, cough, chest pain, dysphagia
Exam may reveal facial edema, distended veins (neck and chest wall). Arm edema, cyanosis, and plethora are less frequent.
Clinical consideration: Emergent or no?