Correspondência/Correspondence to: Serviço de Pneumologia, Hospital S. João, Alameda Prof. Hernâni Monteiro, 4202-451 Porto Telefone: 225512215
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João, Porto" "etiqueta" => "3" "identificador" => "af0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cr0005" "etiqueta" => "*" "correspondencia" => "<span class="elsevierStyleBold">Correspondência/<span class="elsevierStyleItalic">Correspondence to</span></span>: Serviço de Pneumologia, Hospital S. João, Alameda Prof. Hernâni Monteiro, 4202-451 Porto Telefone: 225512215" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Superior vena cava syndrome as tumour presentation" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2008-12-17" "fechaAceptado" => "2009-06-08" "PalabrasClave" => array:2 [ "pt" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palavras-chave" "identificador" => "xpalclavsec570105" "palabras" => array:3 [ 0 => "Síndroma da veia cava superior" 1 => "tipo histológico" 2 => "sobrevivência global" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key-words" "identificador" => "xpalclavsec570104" "palabras" => array:3 [ 0 => "Superior vena cava syndrome" 1 => "histology" 2 => "overall survival" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "pt" => array:2 [ "titulo" => "Resumo" "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall">A síndroma da veia cava superior (SVCS) é causada por uma obstrução/compressão gradual e insidiosa da veia cava superior, caracterizando-se por fácies pletórica, edema e ingurgitamento vascular do pescoço e parte superior do tronco. É geralmente tradutora de neoplasia, sendo o cancro do pulmão a sua causa mais comum.</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Objectivo:</span> Estudo retrospectivo dos internamentos no Hospital de S. João entre Janeiro de 1995 e Dezembro de 2006 por SVCS de etiologia a esclarecer com a caracterização clínica dos doentes e a avaliação de factores de prognóstico.</p><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Material e métodos:</span> Foram seleccionados 60 doentes que à data de admissão não tinham causa para SVCS. Foram avaliados, entre outros, idade, sexo, exposição e carga tabágica, etiologia do SVCS, tratamento e sobrevivência global.</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Resultados:</span> Dos doentes estudados, 87% apresentavam cancro do pulmão, sendo o tipo histológico mais comum o carcinoma pulmonar de pequenas células (CPPC), com 41% dos casos. Em 10% dos doentes foi diagnosticado linfoma não Hodgkin. Em relação aos factores de prognóstico estudados, verificou-se que a ausência de metastização, o diagnóstico histológico de linfoma, o bom estado geral e a ausência de consumo tabágico se correlacionam positivamente de forma significativa com a sobrevivência. Contrariamente, o diagnóstico de CPPC apresentou igualmente de forma significativa uma menor sobrevivência.</p><p id="sp0025" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Conclusão:</span> Nesta série de doentes com SVCS como apresentação da doença observou-se uma sobrevivência significativamente menor nos casos de CPPC, doentes fumadores (especialmente com<span class="elsevierStyleHsp" style=""></span>≥<span class="elsevierStyleHsp" style=""></span>40 UMA), naqueles com mau estado geral, bem como nos que apresentavam uma maior progressão da doença, com presença de metastização.</p><p id="sp0030" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2010; XVI (1): 73-88</span></p></span>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0035" class="elsevierStyleSimplePara elsevierViewall">Superior vena cava syndrome (SVCS) is characterised by gradual and insidious compression/obstruction of the superior vena cava (SVC). Upper chest and neck ingurgitation, plethoric face and oedema are the common symptoms/signs. It generally means the presence of neoplasm, namely lung cancer.</p><p id="sp0040" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Aim:</span> Retrospective analysis of the patients admitted to S. João Hospital, Porto, Portugal, January 1995-December 2006 with SVCS without previous diagnosis. Patients, tumour characteristics and prognostic factors were studied.</p><p id="sp0045" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Material and methods:</span> Data was collected by consulting the clinical files of 60 SVCS patients without previous diagnosis. Data was gathered on the patients’ demographic characteristics (age, gender, smoking habits), performance status, histology, staging, treatment and overall survival.</p><p id="sp0050" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Results:</span> Lung cancer was observed in 87% of the patients. Small-cell lung cancer (SCLC) was the most frequent histological type; 41% of the patients. It is noticeable that 10% were diagnosed with non-Hodgkin’s lymphoma. In terms of prognostic factors analysed, the absence of metastasis, the lymphoma’s histological diagnosis, good performance status and non-smoker status were positively correlated with the survival rate. On the contrary SCLC was significantly correlated with a worse survival.</p><p id="sp0055" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Conclusions:</span> In our analysis we concluded that SCLC, smokers and a poorer performance status as well as metastatic disease were unfavourable prognostic factors to SVCS as tumour presentation.</p><p id="sp0060" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2010; XVI (1): 73-88</span></p></span>" ] ] "lecturaRecomendada" => array:1 [ 0 => array:3 [ "vista" => "all" "titulo" => "<span class="elsevierStyleSectionTitle" id="st0025">Bibliografia/Bibliography</span>" "seccion" => array:1 [ 0 => array:2 [ "vista" => "all" "bibliografiaReferencia" => array:22 [ 0 => array:3 [ "identificador" => "bb0005" "etiqueta" => "1." 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Original language: Portuguese
Year/Month | Html | Total | |
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2024 November | 5 | 2 | 7 |
2024 October | 40 | 51 | 91 |
2024 September | 39 | 54 | 93 |
2024 August | 52 | 49 | 101 |
2024 July | 38 | 34 | 72 |
2024 June | 24 | 41 | 65 |
2024 May | 24 | 57 | 81 |
2024 April | 26 | 41 | 67 |
2024 March | 22 | 36 | 58 |
2024 February | 28 | 27 | 55 |
2024 January | 25 | 39 | 64 |
2023 December | 17 | 36 | 53 |
2023 November | 17 | 38 | 55 |
2023 October | 14 | 45 | 59 |
2023 September | 17 | 45 | 62 |
2023 August | 13 | 27 | 40 |
2023 July | 23 | 36 | 59 |
2023 June | 21 | 39 | 60 |
2023 May | 22 | 44 | 66 |
2023 April | 15 | 49 | 64 |
2023 March | 17 | 43 | 60 |
2023 February | 14 | 36 | 50 |
2023 January | 23 | 43 | 66 |
2022 December | 16 | 43 | 59 |
2022 November | 29 | 55 | 84 |
2022 October | 28 | 58 | 86 |
2022 September | 18 | 53 | 71 |
2022 August | 28 | 68 | 96 |
2022 July | 26 | 47 | 73 |
2022 June | 15 | 51 | 66 |
2022 May | 32 | 53 | 85 |
2022 April | 19 | 40 | 59 |
2022 March | 22 | 44 | 66 |
2022 February | 30 | 48 | 78 |
2022 January | 20 | 35 | 55 |
2021 December | 35 | 52 | 87 |
2021 November | 21 | 35 | 56 |
2021 October | 28 | 40 | 68 |
2021 September | 32 | 38 | 70 |
2021 August | 11 | 31 | 42 |
2021 July | 23 | 25 | 48 |
2021 June | 12 | 27 | 39 |
2021 May | 16 | 33 | 49 |
2021 April | 41 | 124 | 165 |
2021 March | 35 | 25 | 60 |
2021 February | 47 | 23 | 70 |
2021 January | 38 | 29 | 67 |
2020 December | 14 | 12 | 26 |
2020 November | 39 | 21 | 60 |
2020 October | 32 | 24 | 56 |
2020 September | 72 | 29 | 101 |
2020 August | 66 | 27 | 93 |
2020 July | 106 | 15 | 121 |
2020 June | 56 | 22 | 78 |
2020 May | 65 | 26 | 91 |
2020 April | 59 | 13 | 72 |
2020 March | 60 | 11 | 71 |
2020 February | 43 | 39 | 82 |
2020 January | 50 | 25 | 75 |
2019 December | 48 | 28 | 76 |
2019 November | 63 | 15 | 78 |
2019 October | 50 | 20 | 70 |
2019 September | 51 | 17 | 68 |
2019 August | 77 | 16 | 93 |
2019 July | 62 | 14 | 76 |
2019 June | 58 | 12 | 70 |
2019 May | 57 | 27 | 84 |
2019 April | 66 | 20 | 86 |
2019 March | 73 | 7 | 80 |
2019 February | 56 | 16 | 72 |
2019 January | 70 | 14 | 84 |
2018 December | 32 | 6 | 38 |
2018 November | 5 | 0 | 5 |
2018 October | 13 | 6 | 19 |
2018 September | 15 | 6 | 21 |
2018 August | 42 | 22 | 64 |
2018 July | 38 | 20 | 58 |
2018 June | 54 | 19 | 73 |
2018 May | 55 | 29 | 84 |
2018 April | 54 | 39 | 93 |
2018 March | 46 | 31 | 77 |
2018 February | 28 | 12 | 40 |
2018 January | 42 | 18 | 60 |
2017 December | 54 | 26 | 80 |
2017 November | 43 | 20 | 63 |
2017 October | 26 | 9 | 35 |
2017 September | 22 | 12 | 34 |
2017 August | 20 | 9 | 29 |
2017 July | 19 | 10 | 29 |
2017 June | 32 | 23 | 55 |
2017 May | 33 | 20 | 53 |
2017 April | 14 | 69 | 83 |
2017 March | 12 | 9 | 21 |
2017 February | 14 | 7 | 21 |
2017 January | 10 | 3 | 13 |
2016 December | 11 | 4 | 15 |
2016 November | 11 | 4 | 15 |
2016 October | 11 | 12 | 23 |
2016 September | 4 | 5 | 9 |
2016 August | 3 | 2 | 5 |
2016 July | 3 | 3 | 6 |
2016 May | 0 | 3 | 3 |
2016 April | 3 | 2 | 5 |
2016 March | 3 | 4 | 7 |
2016 February | 2 | 7 | 9 |
2016 January | 12 | 7 | 19 |
2015 December | 9 | 3 | 12 |
2015 November | 3 | 1 | 4 |
2015 October | 2 | 2 | 4 |