Page 18 - Demo

SVCO: OverviewAspect DetailsDefinition Compression or obstruction of the superior vena cavaClassification Oncological emergencyMost Common Cause Lung cancers (especially small cell lung cancer)Other Causes%u2022 Lymphoma%u2022 Metastatic seminoma%u2022 Kaposi's sarcoma%u2022 Breast cancer%u2022 Aortic aneurysm%u2022 Mediastinal fibrosis%u2022 Goiter%u2022 SVC thrombosisClinical Features%u2022 Dyspnea (shortness of breath)%u2022 Swelling of face, arms, and neck%u2022 Conjunctival and periorbital edema%u2022 Facial plethora%u2022 Headache (often worse in the morning)%u2022 Visual disturbances%u2022 Pulseless jugular venous distentionManagement1. Treat underlying cause2. Immediate intervention: Administer dexamethasone3. Definitive treatment: Endovascular stenting of obstructed SVCKey Points%u2022 Medical emergency requiring prompt diagnosis and treatment%u2022 Early recognition of symptoms crucial for timely intervention%u2022 Multidisciplinary approach often necessary%u2022 Prognosis depends on underlying cause and timeliness of treatment