A Case Report of a less Anticipated Presentation : SVCO in Adenocarcinoma Lung

Authors

  • Syeda Tohara Tuz Alam Resident, Pulmonology, National Institute of Diseases of the Chest and Hospital, Mohakhali, Dhaka.
  • Shibly Noman Resident, Pulmonology, National Institute of Diseases of the Chest and Hospital, Mohakhali, Dhaka.
  • Azmain Mahtab Resident, Pulmonology, National Institute of Diseases of the Chest and Hospital, Mohakhali, Dhaka.
  • Nabo Kanto Roy Resident, Pulmonology, National Institute of Diseases of the Chest and Hospital, Mohakhali, Dhaka.
  • Pallob Saha DTCD trainee, National Institute of Diseases of the Chest and Hospital, Mohakhali, Dhaka.
  • Mehedi Hasan DTCD trainee, National Institute of Diseases of the Chest and Hospital, Mohakhali, Dhaka.
  • Zarin Tasnim Resident, Cardiology, National Institute of Cardiovascular Diseases and Hospital, Dhaka.
  • Rubayat Rahman Resident, Cardiology, National Institute of Cardiovascular Diseases and Hospital, Dhaka.
  • Mohammed Mirazur Rahman Junior Consultant, Department of Respiratory Medicine, National Institute of Diseases of the Chest and Hospital, Mohakhali, Dhaka.

Keywords:

adenocarcinoma, lung mass, Superior vena cava obstruction

Abstract

Superior vena cava obstruction (SVCO) can cause significant mortality and morbidity. When complicated by stridor it becomes a medical emergency. Among the Non-small cell lung cancer (NSCLC), squamous cell cancer presents most commonly due to its central location, while adenocarcinoma stays as a rare cause of SVCO. We present this case of a 38 years old Bangladeshi male smoker patient who has been diagnosed as a case of adenocarcinoma lung following a history of pain in right chest, arm, hand with swelling of face and neck for 1 month. Following admission, meticulous regular physical examination revealed a right supraclavicular lymph node measuring 2*2 cm that played a vital role in reaching the diagnosis. His CECT scan of chest showed a mass in right upper lobe merging with mediastinum compressing SVC. FNAC from the supraclavicular lymph node revealed metastatic adenocarcinoma.

Chest Heart J. 2025; 49(1) : 44-46

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Published

2026-08-25

Issue

Vol. 49 No. 1 (2025)

Section

Case Report

License

Copyright (c) 2026 Chest & Heart Journal

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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

How to Cite

Alam, S. T. T., Noman, S., Mahtab, A., Roy, N. K., Saha, P., Hasan, M., Tasnim, Z., Rahman, R., & Rahman, M. M. (2026). A Case Report of a less Anticipated Presentation : SVCO in Adenocarcinoma Lung. Chest & Heart Journal , 49(1), 44-46. https://doi.org/10.3329/chj.v49i1.92831