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10 April 2021: Articles

Hodgkin Lymphoma-Associated Superior Vena Cava Syndrome: A Case Report and Review of the Literature

Rare coexistence of disease or pathology

Ruoning Ni A* , Mahmoud Amr A , Abhishek Kalla A

DOI: 10.12659/AJCR.929437

Am J Case Rep 2021; 22:e929437

Table 2. Summary of patients with superior vena cava syndrome associated with Hodgkin lymphoma.

CaseAgeGenderSubtypeStageTreatmentSteroid useFollow upNote
Rizvi, et al 2012 []12 14FemaleMixed cellularityIIDoxorubicin, bleomycin, vinblastine and dacarbazine plus radiotherapyDexamethasone after biopsyUnclear time: remission
Ramyar, et al 2010 []13 16FemaleLymphocytic predominantIVAdriamycin, bleomycin, vinblastine, dacarbazine. Radiotherapy after development of SVC syndromeNoMonth 4: patient developed heart failure with reduced ejection fraction, severe valvular dysfunction and pericardial effusion. Year 1: no serious problemFew weeks after chemotherapy, the patient developed SVC syndrome
Kentos, et al 2005 []14 22MaleNodular sclerosisIIIBYear 1: 6 cycles of doxorubicin, bleomycin, vinblastine and dacarbazine, with radiotherapy. Year 3: recur, 3 cycles of etoposide, vinblastine, cytarabine and cisplatin, plus carmustine, etoposide, cytarabine and melphalan and autologous hematopoietic stem cell transplantation. Year 4: recur, 4 cycles of bleomycin, etoposide, doxorubicin, cyclophosphamide, vincristine, procarbazine and prednisone. Year 6: recur, left upper pulmonary lobectomy with radical mediastinal lymph node dissectionReceived at Year 4Year 9: remission
Saraya, et al 2008 []15 47MaleNodular sclerosisIIIB6 courses of doxorubicin, bleomycin, vinblastine, dacarbazineNoCourse 6: responds well
Yellin, et al 1992 []16 7MaleNodular sclerosisIIIBNot mentionedNot mentionedAfter 1 year 3 months: alive
Kantarci, et al 2008 []17 8FemaleNon detailedNot mentionedNot mentionedNot mentionedNon detailedNumerous collateral venous pathways
Yellin, et al 1992 []16 11MaleNodular sclerosisIIANot mentionedNot mentionedAfter 1 year and 5 months: alive
Ingram, et al 1990 []11 13MaleNodular sclerosisNot mentionedNot mentionedNot mentionedMonth 124: complete remission
Ingram, et al 1990 []11 16MaleNodular sclerosisNot mentionedNot mentionedNot mentionedMonth 28: alive with recurrence
Kim, et al 2015 []18 21FemaleNot mentionedNot mentionedNot mentionedNot mentionedNot mentionedPseudovertebral enhancement
Geller, et al 1963 []19 25FemaleNot mentionedNot mentioned29 mg HN2 plus radiotherapyNoNot mentioned
Bach, et al 2011 []20 27MaleNot mentionedNot mentionedNot mentionedNot mentionedNot mentionedRecurrent, with central venous catheter placed to pericardia-cophrenic vein
Pattara-tuma, et al 2016 []21 31FemaleNot mentionedNot mentionedNot mentionedSystemic corticosteroids given for asthmaNot mentioned30 weeks of gestation
Srinathan, et al 2005 []22 35MaleNot mentionedNot mentionedStent placement plus chemotherapyNoYear 2: remissionDeveloping stent migration to right atrium and sepsis
Eren, et al 2005 []23 40MaleNot mentionedNot mentionedNot mentionedNot mentionedNot mentioned
Adelstein, et al 1988 []24 Not mentionedNot mentionedLymphocyte depletedIINot mentionedNot mentionedNot mentioned
Porte, et al 2000 []25 Not mentionedNot mentionedNot mentionedNot mentionedNot mentionedNot mentionedNot mentioned
Mehta, et al 2014 []26 69 (17 at diagnosis)FemaleNot mentionedNot mentionedRadiotherapy Year 7: lymph node resection plus radiotherapy for recurrence Year 43: right subclavian artery bypass for stenosisNot mentionedYear 7: remissionRadiotherapy-induced extensive venous fibrosis
Kostopoulou, et al 2008 []27 56 (48 at diagnosis)FemaleNot mentionedNot mentionedHigh dose chemotherapy, including ifosfamide, carboplatin and etoposide, plus autologous bone marrow transplantation plus mediastinal irradiation, status post port-a-cath placement due to multiple recurrenceNoYear 8: partial remissionSVC syndrome after 8 years with thrombosis at the tip of port-a-cath
Davis, et al 2011 []28 52MaleNot mentionedNot mentioned6 cycles of chemotherapy plus radiotherapyNot mentionedNot mentionedRadiation-induced extensive venous fibrosis
Fichelle, et al 2018 []29 53FemaleNot mentionedNot mentionedYear 1: radiotherapy with complete remissionYear 21: central venous catheter placed for chemotherapy for breast cancerYear 40: presence of SVC syndrome, with no sign of tumor recurrenceNot mentionedYear 50: clinically stableSVC syndrome developed after central line placement without HL recurrence

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923