Document Detail

Venous dilatation seen on routine mammography: a clue to superior vena cava obstruction.
MedLine Citation:
PMID:  11948078     Owner:  NLM     Status:  MEDLINE    
A diagnosis of superior vena cava obstruction (SVCO) generally is made on clinical grounds and can be confirmed by SVCO-specific diagnostic tests. When the obstruction is long-standing, clinical recognition may be compromised as venous drainage of the head, neck, chest, and upper extremity is diverted via collateral venous channels that bypass the obstructed superior vena cava. In such situations, only the visualization of this collateral flow will suggest the presence of SVCO. We describe a patient in whom the unanticipated diagnosis of SVCO was first suggested when routine mammography revealed grossly dilated superficial veins of both breasts, which were the result of collateral flow.
Padmanabhan Krishnan; Lalith Uragoda; Hemalatha Rao; Santi R Dhar
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Chest     Volume:  121     ISSN:  0012-3692     ISO Abbreviation:  Chest     Publication Date:  2002 Apr 
Date Detail:
Created Date:  2002-04-11     Completed Date:  2002-05-09     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0231335     Medline TA:  Chest     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1361-3     Citation Subset:  AIM; IM    
Department of Pulmonary Medicine, Coney Island Hospital, Brooklyn, NY 11235, USA.
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MeSH Terms
Aged, 80 and over
Breast / blood supply*
Collateral Circulation / physiology
Mass Screening
Superior Vena Cava Syndrome / radiography*

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