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Updated: Dec 25, 2025

A Novel Method: Super-selective Adrenal Venous Sampling
Published on: September 15, 2017
Superior vena cava syndrome and pulmonary adenocarcinoma
Vitorino Modesto Santos1, Sandro José Martins, Mariely Fernanda Silva Helbigen
1Department of Internal Medicine, Armed Forces Hospital (HFA), Brasília, Distrito Federal, Brazil; vitorinomodesto@gmail.com.
Abstract:
We report a large-cell adenocarcinoma of the lung in a tobacco smoker with classical superior vena cava syndrome and digital clubbing. Computed tomography and nuclear magnetic resonance revealed the involvement of the vena cava and metastases in the left adrenal gland and central nervous system. Biopsy samples of the mass yielded the diagnosis. The patient underwent a schedule of palliative chemotherapy and brain radiotherapy.
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