Kompressionssyndrome
Standard
Kompressionssyndrome. / Wierecky, J; Bokemeyer, C.
in: INTERNIST, Jahrgang 46, Nr. 1, 01.2005, S. 9-18.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
Harvard
APA
Vancouver
Bibtex
}
RIS
TY - JOUR
T1 - Kompressionssyndrome
AU - Wierecky, J
AU - Bokemeyer, C
PY - 2005/1
Y1 - 2005/1
N2 - Superior vena cava syndrome is a medical condition determined by the mechanisms of extrinsic compression, invasion or thrombosis of the superior vena cava. The most common underlying cause is a malignant process, especially lung cancer and lymphoma. Typical symptoms include progressive dyspnea, head and upper body edema and cyanosis. Most patients can be treated with appropriately directed chemotherapy or radiotherapy. Accurate diagnosis of the underlying etiology needs to be established before treatment. Only under extreme emergency conditions such as laryngeal or cerebral edema irradiation should be initiated without a histological diagnosis. With the refinement of endovascular stents, percutaneous stenting is being increasingly used as primary treatment modality. Metastatic spinal cord compression is one of the most dreadful complications of cancer. In most patients the initial symptom is progressive back pain with an axial or radicular distribution. MRI should be preferred in the diagnostic work-up, corticosteroids be administered promptly after biopsy. Radiation therapy or surgical treatment should be started as soon as possible.
AB - Superior vena cava syndrome is a medical condition determined by the mechanisms of extrinsic compression, invasion or thrombosis of the superior vena cava. The most common underlying cause is a malignant process, especially lung cancer and lymphoma. Typical symptoms include progressive dyspnea, head and upper body edema and cyanosis. Most patients can be treated with appropriately directed chemotherapy or radiotherapy. Accurate diagnosis of the underlying etiology needs to be established before treatment. Only under extreme emergency conditions such as laryngeal or cerebral edema irradiation should be initiated without a histological diagnosis. With the refinement of endovascular stents, percutaneous stenting is being increasingly used as primary treatment modality. Metastatic spinal cord compression is one of the most dreadful complications of cancer. In most patients the initial symptom is progressive back pain with an axial or radicular distribution. MRI should be preferred in the diagnostic work-up, corticosteroids be administered promptly after biopsy. Radiation therapy or surgical treatment should be started as soon as possible.
KW - Acute Disease
KW - Emergency Medical Services
KW - Humans
KW - Neoplasms
KW - Nerve Compression Syndromes
KW - Physician's Practice Patterns
KW - Practice Guidelines as Topic
KW - Spinal Cord Compression
KW - Superior Vena Cava Syndrome
U2 - 10.1007/s00108-004-1318-0
DO - 10.1007/s00108-004-1318-0
M3 - SCORING: Zeitschriftenaufsatz
C2 - 15592802
VL - 46
SP - 9
EP - 18
JO - INTERNIST
JF - INTERNIST
SN - 0020-9554
IS - 1
ER -