膀胱癌肺转移致上腔静脉综合征合并肺动脉狭窄1例  

Superior vena cava syndrome and pulmonary artery stenosis in a patient with lung metastases of bladder cancer

作　　者：李建柯 谷亚男 李俊昊 王良文 田宁子 陈伟 王小林 陈颐 LI Jian-ke;GU Ya-nan;LI Jun-hao;WANG Liang-wen;TIAN Ning-zi;CHEN Wei;WANG Xiao-lin;CHEN Yi(Shanghai Institute of Medical Imaging,Shanghai 200032,China;Department of Interventional Radiology,Zhongshan Hospital,Fudan University,Shanghai 200032,China)

机构地区：[1]上海市影像医学研究所,上海200032 [2]复旦大学附属中山医院介入治疗科,上海200032

出　　处：《复旦学报（医学版）》2024年第2期277-279,284,共4页Fudan University Journal of Medical Sciences

摘　　要：上腔静脉综合征(superior vena cava syndrome,SVCS)是各种原因引起的上腔静脉回流受阻所致的一组临床症候群。肺动脉狭窄(pulmonary artery stenosis,PS)属于肺或纵隔肿瘤的并发症之一。膀胱癌肺转移导致的SVCS合并PS极为罕见,目前尚未见文献报道。本文报道1例老年男性膀胱癌肺转移出现头颈部及双上肢浮肿,结合肺动脉CT血管成像(computedtomographyangiography,CTA)及数字减影血管造影(digitalsubtraction angiography,DSA)明确患者存在SVCS合并PS,内科治疗无效后,采取支架植入治疗SVCS。术中测压提示PS尚未引起肺动脉高压,遂暂未处理PS。患者接受介入治疗后浮肿症状好转出院。Superior vena cava syndrome(SVCS)is a group of clinical syndromes caused by obstruction of the superior vena cava and its major branches from various causes.Pulmonary artery stenosis(PS)is a complication of lung cancer or mediastinal tumours.SVCS combined with PS due to pulmonary metastases from bladder cancer is extremely rare and has not been reported in the literature.Here we reported an old male patient with pulmonary metastases from bladder cancer presenting with swelling of the head,neck and both upper limbs.SVCS combined with PS was clarified by pulmonary artery computed tomography angiography(CTA)and digital subtraction angiography(DSA).Endovascular stenting was used to treat SVCS.Angiography also showed that PS had not caused pulmonary hypertension and did not need to be treated.The swelling of the patient’s head,neck and upper limbs was gradually reduced after the procedure.

关 键 词：膀胱癌 肺转移 上腔静脉综合征(SVCS) 肺动脉狭窄(PS) 血管内支架植入术 

分 类 号：R737.14[医药卫生—肿瘤]