[Superior vena cava syndrome in children].
نویسندگان
چکیده
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.
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Etiology, complications and management protocols for superior vena cava obstruction (SVCO) in children are well recognized [1]. However, there is paucity of literature addressing SVCO at presentation in childhood acute lymphoblastic leukemia (ALL), its association with risk factors, prognostic impact and outcome [2]. Herein, we describe our management experience of 24 (3.14%) children with ALL ...
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عنوان ژورنال:
- Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion
دوره 24 1 شماره
صفحات -
تاریخ انتشار 1954