Superior vena cava syndrome in a patient with severe thrombocytopenia.
A 75-year-old woman was admitted with a suspected superior vena cava syndrome. She was diagnosed with Stage IV progressive ovarian carcinoma and has been treated for the last 2 weeks with topotecan as third-line chemotherapy. A week earlier, she noticed that the right-sided chest skin was becoming progressively demarcated with venous congestions. On examination, we found that her right jugular vein was fully congested (10 cm) with engorged veins of the skin on the right anterior chest. Her blood pressure was 120/80 …