BIOMAT Database Logo BIOMAT Database Logo

[Two cases of downhill esophageal varices associated with superior vena cava syndrome due to lung cancer]. 1991

H Tanaka, and K Nakahara, and K Goto
Department of Respiratory Disease, Gifu City Hospital, Japan.

Two cases of downhill esophageal varices associated with superior vena cava syndrome due to lung cancer are reported. Case 1 was a 68-year-old male with swelling of the upper right half his body. Chest X-ray film showed a mass shadow in the upper right lung field. Small cell lung cancer completely obstructed the superior vena cava. Esophagoscopy showed four striated downhill esophageal varices (F1, CB, RC(-]. After treatment with concurrent chemoradiotherapy, he had a partial response and the varices disappeared. Case 2 was a 55-year-old male with productive cough. The superior vena cava was narrowed by squamous cell lung cancer, with good collateral pathways. Three striated downhill varices (F1, CW, RC(-] were present. Concurrent chemoradiotherapy resulted in partial response, but the number of striated varices increased to four and CB, and extended downward. Left jugular venography revealed collateral veins to the esophagus, although bilateral brachial venography revealed no collaterals. Dynamic CT with bolus injection of contrast medium via the left jugular vein demonstrated esophageal varices. There are few reports on the blood flow of downhill esophageal varices.

UI MeSH Term Description Entries
D008175 Lung Neoplasms Tumors or cancer of the LUNG. Cancer of Lung,Lung Cancer,Pulmonary Cancer,Pulmonary Neoplasms,Cancer of the Lung,Neoplasms, Lung,Neoplasms, Pulmonary,Cancer, Lung,Cancer, Pulmonary,Cancers, Lung,Cancers, Pulmonary,Lung Cancers,Lung Neoplasm,Neoplasm, Lung,Neoplasm, Pulmonary,Pulmonary Cancers,Pulmonary Neoplasm
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D002294 Carcinoma, Squamous Cell A carcinoma derived from stratified SQUAMOUS EPITHELIAL CELLS. It may also occur in sites where glandular or columnar epithelium is normally present. (From Stedman, 25th ed) Carcinoma, Epidermoid,Carcinoma, Planocellular,Carcinoma, Squamous,Squamous Cell Carcinoma,Carcinomas, Epidermoid,Carcinomas, Planocellular,Carcinomas, Squamous,Carcinomas, Squamous Cell,Epidermoid Carcinoma,Epidermoid Carcinomas,Planocellular Carcinoma,Planocellular Carcinomas,Squamous Carcinoma,Squamous Carcinomas,Squamous Cell Carcinomas
D004932 Esophageal and Gastric Varices Dilated blood vessels in the ESOPHAGUS or GASTRIC FUNDUS that shunt blood from the portal circulation (PORTAL SYSTEM) to the systemic venous circulation. Often they are observed in individuals with portal hypertension (HYPERTENSION, PORTAL). Esophageal Varices,Gastric Varices,Esophageal Varix,Gastric Varix,Varices, Esophageal,Varices, Gastric,Varix, Esophageal,Varix, Gastric
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D013479 Superior Vena Cava Syndrome A condition that occurs when the obstruction of the thin-walled SUPERIOR VENA CAVA interrupts blood flow from the head, upper extremities, and thorax to the RIGHT ATRIUM. Obstruction can be caused by NEOPLASMS; THROMBOSIS; ANEURYSM; or external compression. The syndrome is characterized by swelling and/or CYANOSIS of the face, neck, and upper arms which is called Pemberton's sign. Classification of SVC obstruction is often based on COLLATERAL CIRCULATION. Obstruction of the Superior Vena Cava,SVC Obstruction,SVC Syndrome,SVC Thrombosis,Superior Vena Cava Obstruction,Superior Vena Cava Thrombosis,Obstruction, SVC,SVC Obstructions,SVC Syndromes,SVC Thromboses,Syndrome, SVC,Thrombosis, SVC
D018288 Carcinoma, Small Cell An anaplastic, highly malignant, and usually bronchogenic carcinoma composed of small ovoid cells with scanty neoplasm. It is characterized by a dominant, deeply basophilic nucleus, and absent or indistinct nucleoli. (From Stedman, 25th ed; Holland et al., Cancer Medicine, 3d ed, p1286-7) Carcinoma, Oat Cell,Oat Cell Carcinoma,Small Cell Carcinoma,Carcinomas, Oat Cell,Carcinomas, Small Cell,Oat Cell Carcinomas,Small Cell Carcinomas

Related Publications

H Tanaka, and K Nakahara, and K Goto
[Downhill esophageal varices due to superior vena cava syndrome].
July 1991, Nihon Kyobu Shikkan Gakkai zasshi,
H Tanaka, and K Nakahara, and K Goto
Downhill Varices and Apical Lung Cancer Without Superior Vena Cava Syndrome.
January 2024, ACG case reports journal,
H Tanaka, and K Nakahara, and K Goto
Dialysis catheter-induced superior vena cava syndrome and downhill esophageal varices.
May 2007, Clinical nephrology,
H Tanaka, and K Nakahara, and K Goto
Management of Superior Vena Cava Occlusion Causing Bleeding "Downhill" Esophageal Varices.
June 2021, Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists,
H Tanaka, and K Nakahara, and K Goto
Therapeutic approach to "downhill" esophageal varices bleeding due to superior vena cava syndrome in Behcet's disease: a case report.
December 2006, BMC gastroenterology,
H Tanaka, and K Nakahara, and K Goto
"Downhill" esophageal varices secondary to superior vena cava thrombosis and abnormal factor V.
January 2017, Revista de gastroenterologia de Mexico,
H Tanaka, and K Nakahara, and K Goto
[Esophageal varices due to the obstruction of vena cava superior].
January 1966, Polski przeglad radiologii i medycyny nuklearnej,
H Tanaka, and K Nakahara, and K Goto
Bleeding 'downhill' esophageal varices associated with benign superior vena cava obstruction: case report and literature review.
October 2016, BMC gastroenterology,
H Tanaka, and K Nakahara, and K Goto
Psoriasis vulgaris associated with superior vena cava syndrome due to lung cancer metastasis.
May 2007, The Journal of dermatology,
H Tanaka, and K Nakahara, and K Goto
Superior vena cava obstruction induced by pacemaker leads resulting in downhill esophageal varices.
August 2022, European heart journal,
Copied contents to your clipboard!