Document Detail

Trousseau's syndrome with brachiocephalic vein thrombosis in a patient with uterine carcinosarcoma. A case report.
MedLine Citation:
PMID:  10378829     Owner:  NLM     Status:  MEDLINE    
The authors treated a patient with the previously unreported occurrence of brachiocephalic vein and superior vena cava thrombosis in association with a distantly located cancer. A 71-year-old woman presented with swelling over the right side of the neck and abdominal distension. Physical examination revealed a huge mass, and computed tomography demonstrated thrombosis of the brachiocephalic vein and superior vena cava accompanied by jugular vein dilatation. No coagulation disorder was demonstrable. After anticoagulation and thrombolysis, hysterectomy was performed; microscopic examination of the specimen revealed uterine carcinosarcoma. Even though local tumor obstruction is a much more common cause of neck vein thrombosis, a distant occult cancer can present as this form of Trousseau's syndrome. In patients with otherwise unexplained neck vein thrombosis, examination not only of the head and neck but also of the abdomen and pelvis should be pursued.
T Kimura; M Chino; N Ogasawara; T Nakano; S Izumi; H Takeuchi
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Angiology     Volume:  50     ISSN:  0003-3197     ISO Abbreviation:  Angiology     Publication Date:  1999 Jun 
Date Detail:
Created Date:  1999-07-01     Completed Date:  1999-07-01     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0203706     Medline TA:  Angiology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  515-8     Citation Subset:  IM    
Department of Cardiology, National Tokyo Medical Center, Japan.
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MeSH Terms
Brachiocephalic Veins / pathology*,  radiography
Carcinosarcoma / complications*,  diagnosis
Dilatation, Pathologic / radiography
Jugular Veins / pathology,  radiography
Paraneoplastic Syndromes / etiology*,  radiography
Tomography, X-Ray Computed
Uterine Neoplasms / complications*,  diagnosis
Vena Cava, Superior / pathology*,  radiography
Venous Thrombosis / etiology*,  radiography

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