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Superior vena cava obstruction — SCE Respiratory MCQ

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ModerateLung CancerSuperior vena cava obstructionSCE Respiratory

A 72-year-old man with newly diagnosed squamous NSCLC develops facial swelling, venous distension and dyspnoea. CT shows superior vena cava obstruction by mediastinal tumour. He is stable without stridor or cerebral oedema. What is the most appropriate management?

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Correct answer: E — Urgent oncology and interventional radiology assessment for stenting and tumour treatment

SVC obstruction due to lung cancer requires urgent specialist assessment; stenting can rapidly relieve symptoms while oncological treatment is planned. Anticoagulation alone is insufficient unless thrombosis is the main driver. Diuretics and bronchodilators do not relieve mechanical venous obstruction.

Reference: NICE NG122; ESMO Lung Cancer supportive care guidance