Tuberculosis and Respiratory Diseases

  • 제75권5호
  • /
  • Pages.210-213
  • /
  • 2013
  • /
  • 1738-3536(pISSN)
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  • 2005-6184(eISSN)
대한결핵및호흡기학회 (The Korean Academy of Tuberculosis and Respiratory Diseases)
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An Unusual Case of Superior Vena Cava Syndrome Caused by the Intravascular Invasion of an Invasive Thymoma

  • Kim, Hyung Joon (Department of Internal Medicine, Dankook University College of Medicine) ;
  • Cho, Sun Young (Department of Internal Medicine, Dankook University College of Medicine) ;
  • Cho, Woo Hee (Department of Internal Medicine, Dankook University College of Medicine) ;
  • Lee, Do Hyun (Department of Internal Medicine, Dankook University College of Medicine) ;
  • Lim, Do Hyoung (Department of Internal Medicine, Dankook University College of Medicine) ;
  • Seo, Pil Won (Department of Thoracic and Cardiovascular Surgery, Dankook University College of Medicine) ;
  • Park, Mi-Hyun (Department of Radiology, Dankook University College of Medicine) ;
  • Lee, Wonae (Department of Pathology, Dankook University College of Medicine) ;
  • Lee, Jai Hyuen (Department of Nuclear Medicine, Dankook University College of Medicine) ;
  • Kim, Doh Hyung (Department of Internal Medicine, Dankook University College of Medicine)
  • 투고 : 2012.08.30
  • 심사 : 2012.10.23
  • 발행 : 2013.11.30
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초록

Superior vena cava syndrome (SVCS) is usually caused by extrinsic compression or invasion of the superior vena cava (SVC) by malignant tumors involving mediastinal structures. Although thymomas are well-known causes of SVCS, cases of SVCS caused by malignant thymomas protruding into adjacent vessels draining the SVC with thrombosis have been very rarely reported worldwide. We experienced a 39-year-old female patient with SVCS that developed after the direct invasion of the left brachiocephalic vein (LBCV) and SVC by an anterior mediastinal mass with a high maximum standardized uptake value on the chest computed tomography (CT) and positron emission tomography-CT. Based on these results, she underwent en bloc resection of the tumor, including removal of the involved vessels, and was eventually diagnosed as having a type B2 thymoma permeating into the LBCV and SVC. We present this case as a very rare form of SVCS caused by an invasive thymoma.

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참고문헌

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피인용 문헌

  1. Sonography and Transthoracic Echocardiography for Diagnosis of Systemic Cardiovascular Metastatic Tumor Thrombi vol.35, pp.9, 2016, https://doi.org/10.7863/ultra.15.10038
  2. Thymoma Causing Bilateral Upper Extremity Deep Vein Thrombosis vol.30, pp.None, 2013, https://doi.org/10.1016/j.rmcr.2020.101049