18 Questions
What is the first line treatment for Superior Vena Cava obstruction?
Stenting
What percentage of symptomatic patients achieved symptom relief in the 1-week group after palliative radiotherapy?
91.6%
In which patients is SVC stenting particularly crucial for offering rapid symptom relief?
Patients with urgent management needs and life-threatening symptoms like larynx swelling, airway obstruction, and cerebral edema.
What may limit the use of SVC stenting in some patients?
Bleeding tendencies due to thrombocytopenia or the lack of necessary equipment/specialists in medical facilities.
What are some life-threatening symptoms that may indicate the need for urgent management of SVC syndrome?
Larynx swelling, airway obstruction, and cerebral edema.
Describe the difference in symptom relief between the 2-week group and the 1-week group after palliative radiotherapy for symptomatic patients.
85.7% in the 2-week group and 91.6% in the 1-week group.
What is the primary reason for the onset of SVC syndrome in the 2-week group?
Disease progression following previous treatment
What percentage of patients in the 1-week group had distant metastasis?
93.3%
What is the most common symptom of SVC syndrome?
Edema
What is the most commonly used RT planning technique in both groups?
3D-CRT
What percentage of patients in the 2-week group were asymptomatic?
15.4%
What treatments were administered to the majority of patients in both groups?
Steroids and chemotherapy
What percentage of patients with SVC syndrome achieve symptom relief with palliative radiotherapy (RT)?
70%–90%
What is the standard first-line treatment for patients with life-threatening symptoms of SVC syndrome?
Endovascular recanalization
What type of lung cancer is more frequent in SVC obstruction at presentation?
Small cell lung cancer (SCLC)
What is the estimated percentage of lung cancer cases that cause SVC syndrome?
More than 70%
What is the primary goal of palliative radiotherapy in SVC syndrome?
Symptom relief
What is the role of radiation therapy in the management of SVC syndrome?
Palliative treatment for symptom relief
Test your knowledge on the different treatment options available for managing Superior Vena Cava (SVC) syndrome in patients with lung cancer. Learn about the incidence of SVC obstruction and the common malignancies associated with this condition.
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