RESUMO
Se describe el caso de un varón de 45 años que ingresó con signos clínicos de un síndrome de vena cava superior (SVCS), destacando en la exploración edema en esclavina y gran circulación colateral en el cuello y en la región anterosuperior torácica, así como una gran masa testicular. La fibrobroncoscopia mostró una lesión endobronquial tumoral, cuyo diagnóstico histopatológico fue de seminoma, con las mismas características que la biopsia testicular. Se inició tratamiento con cirugía, quimioterapia y radioterapia, presentando gran mejoría clínica. Señalamos la importancia de considerar el SVCS como entidad relacionada con procesos neoplásicos menos frecuentes, como son los tumores germinales
We describe the case of a 45-year-old male who was admitted with clinical signs of superior vena cava syndrome (SVCS). Physical examination showed collar of Stokes and extensive collateral circulation in the neck and anterosuperior thoracic region, as well as a large testicular mass. Fibrobronchoscopy revealed an endobronchial tumor, histopathologically diagnosed as seminoma, with the same characteristics as the testicular biopsy. Treatment was initiated with surgery, chemotherapy and radiotherapy, resulting in a major clinical improvement. We indicate the importance of considering SVCS as an entity related with less common neoplasms such as germ cell tumors
Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Síndrome da Veia Cava Superior/complicações , Seminoma/complicações , Neoplasias Brônquicas/secundário , Metástase Neoplásica , Broncoscopia , Neoplasias Embrionárias de Células Germinativas/diagnósticoRESUMO
We describe the case of a 45-year-old male who was admitted with clinical signs of superior vena cava syndrome (SVCS). Physical examination showed collar of Stokes and extensive collateral circulation in the neck and anterosuperior thoracic region, as well as a large testicular mass. Fibrobronchoscopy revealed an endobronchial tumour, histopathologically diagnosed as seminoma, with the same characteristics as the testicular biopsy. Treatment was initiated with surgery, chemotherapy and radiotherapy, resulting in a major clinical improvement. We indicate the importance of considering SVCS as an entity related with less common neoplasms such as germ cell tumours.
