Neoplasic vena cava syndrom.

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Published Oct 1, 2010
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Vol. 88 No. 10 (2010): Issue Oct 2010

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Leila El Fekih
Leila Boussoffara
Sorraya Fenniche
Emna Kasdaghli
Dalenda Belhabib
Service de pneumologie Ibn Nafiss. Hôpital Abderrhmane MAMI de L'ARIANA
Hajer Abdelghaffar
Hela Hassene
Khaoula Ben Miled
Faouzi Mezni
Mohamed Lamine Megdiche

Abstract

Background : Vena cava superior syndrom results of an obstruction of superior vein cava(SVC)and/or brachiocaphalic venous troncs by extrinsic compression and/or by tumoral or cruoric thrombosis. The bronchopulmonary cancer represents the most frequent aetiology.
Aim : The aim of this study is to establish clinical, radiological, evolutive profiles and modalities of treatment of neoplasic vena cava superior syndrom independently of its histological type.
Methods: It is a retrospective study about 20 patients presenting vena cava superior syndrome compliquating primary bronchopulmonary cancer, hospitalised between January 2000 and December 2007 in Ibn Nafiss department in Abderrahmen Mami hospital.
Resultats: All patients were males with an average of 57,8 yaers. Vena cava superior syndrome had revealed cancer in 60% of cases. It was metachrone in 40% of the patients. The most frequent histological type was small cell lung cancer. Treatment was proceeded in 2 steps, symptomatic and etiologic for the bronchopulmonary cancer.
Conclusion: The bronchopulmonary cancer is the most frequent aetiology of vena cava superior syndrome. Its treatment is actually well codified.

Keywords:

Cancer, Lung, Superior vena cava syndrome, obstruction

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