Management of Malignancy Associated Superior Vena Cava Syndrome in the Emergency Department


  • Muhammad Muaz Abbasi ER & Surgery Department, Ziauddin Medical University, Karachi, Pakistan.
  • Mutahir Tunio Clinical Oncology Department, Singleton Hospital, Swansea, UK.
  • Farrukh Irshad Accident & Emergency Department, Royal Albert Edward Infirmary, Wigan, UK.


Superior Vena Cava Syndrome, Oncological emergencies, Superior mediastinal obstruction, Radiotherapy, Cancer, Malignancy


Abstract: Objective: The objective of this article was to do a review of the available literature on Malignancy associated Superior Vena Cava Syndrome (SVCS), and provide a quick effective guide on the latest approaches on management of patients presenting in the Emergency Room with SVCS.
Methods: Multiple documents were identified which were published with regards to SVCS, Emergency Management of SCVS and case reports. All the papers were studied and latest diagnostic methods and management protocols were identified and extrapolated from the literature.
Results: Of approximately 30 papers shortlisted that were written on SVCS, newer ways of identifying and managing SVCS is the ER (specifically) were collected and presented. Newer therapies i.e. External Beam Radiation Therapy via Photons in the Emergency setting, Multidisciplinary approach to Malignancy associated SVCS were discussed along with traditional symptoms  relief measures.
Conclusion: Both adults and children who present with the signs and symptoms of SVCS in the emergency room require extra care and multidisciplinary management.




How to Cite

Abbasi MM, Tunio M, Irshad F. Management of Malignancy Associated Superior Vena Cava Syndrome in the Emergency Department. Nat J Health Sci [Internet]. 2023Mar.21 [cited 2024May29];8(1):37-9. Available from:



Review Article

Most read articles by the same author(s)