Clinical Case Database / Category: Patient Management

Hodgkin lymphoma presenting with superior vena cava obstruction (SVCO)

Publication details

Dr Clare Rowntree, Dr Samya Obaji
Foundation Years Journal, volume 9, issue 3, p.55 (123Doc Education, London, March 2015)


This case based discussion focuses on a 17 year old female who presented with dyspnoea as a consequence of superior vein cava obstruction (SVCO). The case explores the presentation, investigations and management of SVCO in a patient with previously undiagnosed Hodgkin lymphoma.

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Dr Clare Rowntree

Consultant Haematologist
University Hospital of Wales, Heath Park, Cardiff, CF14 4XW

Dr Samya Obaji (Corresponding author)

Haematology Registrar
University Hospital of Wales, Heath Park, Cardiff, CF14 4XW


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3. Wilson LD, Detterbeck FC, Yahalom J. Clinical practice. Superior vena cava syndrome with malignant causes. N Engl J Med 2007;356:1862–1869.
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5. Nicholson AA, Ettles DF, Arnold A, et al. Treatment of malignant superior vena cava obstruction: metal stents or radiation therapy. J Vasc Interv Radiol 1997;8:781–788.
6. Kvale PA, Selecky PA, Prakash UB . Palliative care in lung cancer: ACCP evidence-based clinical practice guidelines (2nd edition). American College of Chest Physicians. Chest. 2007;132(3 Suppl): 368S.


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T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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