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50 year old female with facial swelling, headaches and dizziness, chest pain

SVC syndrome

  • Obstruction of the SVC with collateral formation
  • Malignant cause 80-90%, usually bronchogenic CA, also lymphoma, granulomatous disease (Histo, TB, Sarcoid)
Mediastinal mass
Soft tissue masses encase SVC
Obstruction of SVC with collaterals

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