Superior vena cava syndrome in children

被引:12
作者
Gupta V. [1 ]
Ambati S.R. [1 ]
Pant P. [1 ]
Bhatia B. [1 ]
机构
[1] Department of Pediatrics, Institute of Medical Sciences, Banaras Hindu University
关键词
Lymphoma; Superior mediastinal syndrome; Superior vena cava syndrome; Tuberculosis;
D O I
10.1007/s12288-008-0020-0
中图分类号
学科分类号
摘要
Superior vena cava syndrome (SVCS) is rare in childhood. 18 cases of SVCS were seen in children ranging from 3-14 years with a mean age of 8.8 years. There were 15 males and 3 female children. Diagnosis could be confirmed in 17 cases as one child succumbed to severe respiratory distress without a definitive diagnosis. The commonest cause of SVCS was lymphoma. Non-Hodgkin's lymphoma (NHL) was more common than Hodgkin's disease. In two cases the final diagnosis was tuberculosis of mediastinal lymph nodes. The diagnosis was confirmed by cervical lymph node biopsy in 6 cases, mediastinal biopsy in 6 cases and bone marrow aspiration in the remaining 5 cases. Intravenous Dexamethasone provided relief of symptoms in 13 patients. None of the children received emergency radiotherapy. Anti-tubercular treatment produced complete cure in the two patients with tubercular mediastinal lymphadenopathy. © Indian Society of Haematology & Transfusion Medicine 2008.
引用
收藏
页码:28 / 30
页数:2
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