Abstract
Vena cava superior syndrome (VCSS) defines the deterioration in blood circulation as a result of an obstruction in vena cava superior (VCS) and the resulting clinical condition. It might develop due to various reasons including malign and benign ones. Because of swelling on the face and neck, 38 year-old woman was undergone thoracic computed tomography. Pleural effusion was observed in right hemithorax and a mass applying pressure on the vena cava superior on the middle mediastinum. Pet-CT was taken; prevascular lymphadenopathies with SUDmax: 21.1 were observed. The frozen result of mediastinoscopy was reported to be necrosis. Thoracotomy was implemented; the pathologic formation thought to be thrombus in the lumen of vena cava superior was excised. At the end of pathological examination, this mass was reported to be unclassified b-cell lymphoma having the characteristics of Burkitt’s and large-cell lymphoma. The patient was given chemotherapy. The remission was achieved. In our case, the reason for VCSS was intravascular thrombus-shaped large B-cell lymphoma. This case was presented because it is a rare reason for VCSS.
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