Superior vena cava syndrome staging: Difference between revisions
Jump to navigation
Jump to search
(Created page with "__NOTOC__ {{Superior vena cava syndrome}} {{CMG}}{{AE}}{{MV}} ==Overview== ==Staging== ==References== {{Reflist|2}} Category:Disease Category:Hematology Catego...") |
(j) |
||
Line 5: | Line 5: | ||
==Overview== | ==Overview== | ||
According to the Journal of Thoracic Oncology, there are 5 stages of SVCS based on the severity and incidence. Each stage is assigned a grade and a description that designate disease severity .<ref name="pmid18670297">{{cite journal |vauthors=Yu JB, Wilson LD, Detterbeck FC |title=Superior vena cava syndrome--a proposed classification system and algorithm for management |journal=J Thorac Oncol |volume=3 |issue=8 |pages=811–4 |year=2008 |pmid=18670297 |doi=10.1097/JTO.0b013e3181804791 |url=}}</ref><ref name="pmid17476012">{{cite journal |vauthors=Wilson LD, Detterbeck FC, Yahalom J |title=Clinical practice. Superior vena cava syndrome with malignant causes |journal=N. Engl. J. Med. |volume=356 |issue=18 |pages=1862–9 |year=2007 |pmid=17476012 |doi=10.1056/NEJMcp067190 |url=}}</ref> | |||
==Staging== | ==Staging== | ||
<br/> | |||
<table border=1 style="border-collapse:collapse;background:white;border:1px solid gray;" cellpadding=5px align=center> | |||
<caption> | |||
<b>Proposed grading system for superior vena cava syndrome (See PMID 18670297)</b> | |||
</caption> | |||
<tr> | |||
<th>Grade</th><th>Category</th><th>Incidence %</th><th>Definition</th> | |||
</tr> | |||
<tr> | |||
<td>0</td><td>Asymptomatic</td><td>10</td><td>Radiographic superior vena cava obstruction in the absence of symptoms</td> | |||
</tr> | |||
<tr> | |||
<td>1</td><td> Mild </td><td> 25 </td><td> Edema in head or neck (vascular distention), cyanosis, plethora</td> | |||
</tr> | |||
<tr> | |||
<td>2</td><td> Moderate </td><td> 50 </td><td> Edema in head or neck with functional impairment (mild dysphagia, cough, mild or moderate impairment of head, jaw or eyelid movements, visual disturbances caused by ocular edema)</td> | |||
</tr> | |||
<tr> | |||
<td>3</td><td> Severe </td><td>10 </td><td> Mild or moderate cerebral edema (headache, dizziness) or mild/moderate laryngeal edema or diminished cardiac reserve (syncope after bending)</td> | |||
</tr> | |||
<tr> | |||
<td>4</td><td> Life-threatening </td><td> 5 </td><td> Significant cerebral edema (confusion, obtundation) or significant laryngeal edema (stridor) or significant hemodynamic compromise (syncope without precipitating factors, hypotension, renal insufficiency)</td> | |||
</tr> | |||
<tr> | |||
<td>5</td><td> Fatal </td><td> < 1 </td><td> Death </td> | |||
</tr> | |||
</table> | |||
==References== | ==References== |
Revision as of 14:24, 12 January 2016
Superior Vena Cava Syndrome Microchapters |
Differentiating Superior Vena Cava Syndrome from Other Diseases |
---|
Diagnosis |
Treatment |
Case Studies |
Superior vena cava syndrome staging On the Web |
American Roentgen Ray Society Images of Superior vena cava syndrome staging |
Directions to Hospitals Treating Superior vena cava syndrome |
Risk calculators and risk factors for Superior vena cava syndrome staging |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Maria Fernanda Villarreal, M.D. [2]
Overview
According to the Journal of Thoracic Oncology, there are 5 stages of SVCS based on the severity and incidence. Each stage is assigned a grade and a description that designate disease severity .[1][2]
Staging
Grade | Category | Incidence % | Definition |
---|---|---|---|
0 | Asymptomatic | 10 | Radiographic superior vena cava obstruction in the absence of symptoms |
1 | Mild | 25 | Edema in head or neck (vascular distention), cyanosis, plethora |
2 | Moderate | 50 | Edema in head or neck with functional impairment (mild dysphagia, cough, mild or moderate impairment of head, jaw or eyelid movements, visual disturbances caused by ocular edema) |
3 | Severe | 10 | Mild or moderate cerebral edema (headache, dizziness) or mild/moderate laryngeal edema or diminished cardiac reserve (syncope after bending) |
4 | Life-threatening | 5 | Significant cerebral edema (confusion, obtundation) or significant laryngeal edema (stridor) or significant hemodynamic compromise (syncope without precipitating factors, hypotension, renal insufficiency) |
5 | Fatal | < 1 | Death |
References
- ↑ Yu JB, Wilson LD, Detterbeck FC (2008). "Superior vena cava syndrome--a proposed classification system and algorithm for management". J Thorac Oncol. 3 (8): 811–4. doi:10.1097/JTO.0b013e3181804791. PMID 18670297.
- ↑ Wilson LD, Detterbeck FC, Yahalom J (2007). "Clinical practice. Superior vena cava syndrome with malignant causes". N. Engl. J. Med. 356 (18): 1862–9. doi:10.1056/NEJMcp067190. PMID 17476012.