Lung cancer with superior vena caval invasion

Case contributed by Dr Chris O'Donnell

Presentation

Recent right upper lobectomy for adenocarcinoma of the lung. Now chest pain and shortness of breath.

Patient Data

Age: 65
Gender: Female
Modality: CT

Very large mass in the right upper lobe at the site of previous excision invading the mediastinum, entering the SVC as tumour thrombus (arrow).

Case Discussion

SVC obstruction is usually due to extrinsic compression by mediastinal tumour.  It is rare for tumour to invade the wall to enter the lumen.

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Case Information

rID: 29164
Case created: 7th May 2014
Last edited: 20th Nov 2015
System: Chest
Inclusion in quiz mode: Included

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