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上静脉卡瓦综合征的慢性和非典型表现:一个病例报告
Daniel Rosales Rosales1, Carlos A Jaimes Loreto2, Quitzia L Torres Salazar3
1Internal Medicine, Universidad Juárez del Estado de Durango, Durango, MEX.
Cureus
|November 11, 2025
概括
这项案例研究突出了几十年来出现的高级静脉综合征 (SVCS) 的不同寻常现象,该病例发生在患有中质量的女性身上. 它强调了认识到慢性静脉附带因素和体检的重要性,以诊断惰的中央静脉阻塞.
科学领域:
- 在瘤学瘤学.
- 心血管医学 心血管医学
- 诊断成像 诊断成像 诊断成像
背景情况:
- 上腔静脉综合征 (SVCS) 通常呈现为急性.
- 慢性静脉阻塞可以导致广泛的附带发展.
- 中质块是SVCS的常见原因之一.
研究的目的:
- 报告一种罕见的SVCS病例,其表现异常慢性.
- 为了强调附带静脉网络的诊断意义.
- 突出体检在诊断中枢静脉阻塞中的作用.
主要方法:
- 一个66岁的妇女长期患有静脉膨胀的病例报告.
- 身体检查显示突出的附带循环和气管偏差.
- 计算机断层扫描 (CT) 扫描识别了压缩上腔静脉的大型中质.
- 超声导向活检用于组织病理学诊断.
主要成果:
- 一位66岁的妇女出现了超过二十年的附带静脉发育.
- 诊断出一个大的中质 (腺癌),导致慢性上静脉压缩.
- 患者在20多年内没有急性SVCS的症状,证明了静脉适应.
- 组织病理学证实了腺癌,尽管临床过程缓慢.
结论:
- 慢性SVCS可以随意表现为广泛的附带静脉网络.
- 身体检查对于诊断中枢静脉阻塞至关重要,即使使用先进的成像技术.
- 识别非典型的SVCS表现对于及时的瘤管理至关重要.
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