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Ann Thorac Surg 1998;66:1423-1424
© 1998 The Society of Thoracic Surgeons

Case Reports

Primary malignant lymphoma of superior vena cava

Hiroaki Nomori, MDa, Sadahiro Nara, MDa, Shojiroh Morinaga, MDb, Kyoko Soejima, MDc

a Department of Surgery, Saiseikai Central Hospital, Tokyo, Japan
b Department of Pathology, Saiseikai Central Hospital, Tokyo, Japan
c Department of Medicine, Tokyo Metropolitan Hiroo Hospital, Tokyo, Japan

Accepted for publication April 11, 1998.

Address reprint requests to Dr Nomori, Department of Surgery, Saiseikai Central Hospital, 1-4-17 Mita, Minato-ku, Tokyo 108-0073, Japan

A 78-year-old woman suffered from superior vena cava (SVC) syndrome. Computed tomography and angiography revealed a mass within the SVC. The SVC was resected via median sternotomy, followed by reconstruction using an artificial graft. The resected specimen showed a polypoid tumor within the SVC that had invaded the wall of the SVC. Histologic diagnosis was diffuse large-cell non-Hodgkin’s lymphoma. Most surrounding lymph nodes showed reactive swelling, but one showed a partial microscopic metastasis. These pathologic findings indicated that the tumor was an SVC-originating malignant lymphoma. The patient is now alive and tumor-free 65 months after the operation.




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