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Case Reports
. 2021 Dec 22:2021:3438230.
doi: 10.1155/2021/3438230. eCollection 2021.

A Pregnancy Case of Primary Mediastinal Large B Cell Lymphoma with Superior Vena Cava Syndrome

Lauren Brownhalls  1 , Ann Gillett  2 , Yasmin Whately  3 , Keisuke Tanaka  1   4
Affiliations
Case Reports

A Pregnancy Case of Primary Mediastinal Large B Cell Lymphoma with Superior Vena Cava Syndrome

Lauren Brownhalls et al. Case Rep Obstet Gynecol. .

Abstract

Primary mediastinal large B cell lymphoma (PMLBCL) is a subtype of non-Hodgkin's lymphoma which presents rarely in pregnancy. It is an aggressive tumour that is associated with symptoms of superior vena cava (SVC) compression and airway compromise such as dyspnoea, facial and arm swelling, cough, or chest pain. Timely diagnosis is imperative to optimising patient outcomes and reducing both maternal and fetal morbidity and mortality. We report a case of a 33-year-old woman diagnosed with PMLBCL who presented at 33-week gestation with SVC obstruction to 1 mm in diameter. After multidisciplinary team discussion regarding maternal and fetal implications of management options, we proceeded to a caesarean section and initiated chemotherapy postdelivery. Lower segment caesarean section was uncomplicated, and she underwent a cycle of R-CHOEP followed by 5 cycles of DA-EPOCH. Eighteen months since the completion of the chemotherapy, the disease remained in remission.

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Conflict of interest statement

The authors declare that there is no conflict of interest regarding the publication of this article.

Figures

Figure 1
Figure 1
CT scan on presentation showing a mediastinal mass and concomitant obstruction of the SVC to 1 mm in diameter (green arrow).
Figure 2
Figure 2
CT scan postchemotherapy treatment showing a reduction in the size of the mediastinal mass.
See this image and copyright information in PMC

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