Information
Superior Vena Cava Obstruction (SVCO) is an obstructive emergency that may occur as the result of progression of a malignancy or may be the diagnostic symptom. SVCO is caused by external pressure, thrombus or direct tumour invasion causing obstruction of the superior vena cava and occurs in 3-8% of patients with cancer.
Most common symptoms are dyspnoea, headaches, chest pain, stridor, dilated anterior chest wall veins, swelling of the neck or face.
Who to refer:
Patients who have a cancer diagnosis and symptoms or signs suggestive of SVCO.
Who not to refer:
If in doubt please do not hesitate to call. Patients may be referred to respiratory/interventional radiology at RIE but we are always happy to discuss.
How to refer:
Contact the Acute Oncology teamat the Edinburgh Cancer Centre on 07798774842 or 0131 537 1000 and ask to speak to Acute Oncology team for oncology.
All patients on or within 6 weeks of treatment should be encouraged to monitor symptoms and call Cancer Treatment Helpline (CTH) on 08009177711 if any treatment related concerns. Please note the CTH is a call operator service provided by NHS 24 who then refer on to acute care specialist. They are not able to give specialist advice. Note if a patient has presented to primary care for assessment the patient should not be advised to call the CTH to pass on this information or seek further advice. The primary care clinician should call the Acute Oncology team at the Edinburgh Cancer Centre to discuss if appropriate.
Link to Acute Oncology Initial Management Guidelines:
UKONS | Acute Oncology Initial Management Guidelines (sundownsolutions.co.uk)
