- Obstruction of the superior vena cava results from mediastinal mass lesions.
- Features includea plethoric and cyanosed face with periorbital oedema, exophthalmos, conjunctival injection, and venous dilatation in the fundi, distended non-pulsatile neck veins and a positive Pemberton’s sign.
- lung cancer (90%)
- retrosternal tumours e.g. lymphoma, thymoma, dermoid
- retrosternal goitre
- massive mediastinal lymphadenopathy
- aortic aneurysm
References and Links
Journal Articles and Textbooks
- Talley NJ, O’Connor S. Clinical Examination: A Systematic Guide to Physical Diagnosis. MacLennan and Petty. 3rd edition, 1998.