<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2709-7927</journal-id>
<journal-title><![CDATA[Acta Médica del Centro]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd centro]]></abbrev-journal-title>
<issn>2709-7927</issn>
<publisher>
<publisher-name><![CDATA[Hospital Provincial Clínico Quirúrgico Universitario Arnaldo Milián Castro]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2709-79272022000400753</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Síndrome de la vena cava superior asociado a carcinoma anaplásico del tiroides]]></article-title>
<article-title xml:lang="en"><![CDATA[Superior Vena Cava Syndrome associated with anaplastic carcinoma of the thyroid]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santos Pérez]]></surname>
<given-names><![CDATA[Luis Alberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Milián Hernández]]></surname>
<given-names><![CDATA[Cándida Grisel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Provincial Clínico Quirúrgico Universitario &#8220;Arnaldo Milián Castro&#8221;  ]]></institution>
<addr-line><![CDATA[Santa Clara Villa Clara]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2022</year>
</pub-date>
<volume>16</volume>
<numero>4</numero>
<fpage>753</fpage>
<lpage>759</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S2709-79272022000400753&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S2709-79272022000400753&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S2709-79272022000400753&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  el síndrome de la vena cava superior es un conjunto de síntomas y signos causados por el deterioro del flujo sanguíneo de la mitad superior del tórax, el cuello, la cabeza y las extremidades superiores a la aurícula derecha debido a la obstrucción parcial o completa de la vena cava superior. Los tumores malignos, como el cáncer pulmonar y el linfoma, son la principal causa hasta en el 90% de los casos. El síndrome de la vena cava superior se ha informado como complicación rara del cáncer de tiroides, a consecuencia de la invasión mediastínica por el tumor o por la invasión intravascular del mismo con trombosis.  Información del paciente:  se describe el caso de una paciente femenina de 87 años de edad, con historia clínica de cáncer de tiroides, que asistió al Servicio de Urgencias por tos húmeda, disnea y escasa emisión de orina, la que presentó como complicación de esta neoplasia el síndrome de la vena cava superior por trombosis de la vena cava, de ambas yugulares y de la raíz de la arteria pulmonar.  Conclusión:  el síndrome de la vena cava superior, aunque no es muy común, se presenta con alguna frecuencia, por eso la necesidad del diagnóstico del proceso, sea benigno o maligno. El manejo de estos enfermos presenta siempre grandes dificultades porque, en muchas ocasiones, se comportan como graves urgencias clínicas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  superior vena cava syndrome is a group of symptoms and signs caused by deterioration of blood flow from the upper half of the thorax, neck, head and upper extremities to the right atrium due to partial or complete obstruction of the superior vena cava. Malignant tumors, such as lung cancer and lymphoma, are the main cause in up to 90% of cases. Superior vena cava syndrome has been reported as a rare complication of thyroid cancer, resulting from mediastinal invasion by the tumor or intravascular invasion of the tumor with thrombosis.  Patient information:  it is described the case of an 87-year-old female patient, with clinical history of thyroid cancer, who was admitted to the Emergency Department due to wet cough, dyspnea and poor urine output, who presented superior vena cava syndrome as a complication of this neoplasm due to thrombosis of the vena cava, both jugular veins and the root of the pulmonary artery.  Conclusion:  the superior vena cava syndrome, although it is not very common, occurs with some frequency, that is why it is necessary to diagnose the process, whether benign or malignant. The management of these patients always presents great difficulties because, on many occasions, they behave as serious clinical emergencies.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[tromboembolismo pulmonar]]></kwd>
<kwd lng="es"><![CDATA[síndrome de la vena cava superior]]></kwd>
<kwd lng="es"><![CDATA[trombosis de la vena cava superior]]></kwd>
<kwd lng="es"><![CDATA[trombosis venosa]]></kwd>
<kwd lng="es"><![CDATA[trombosis yugular]]></kwd>
<kwd lng="en"><![CDATA[pulmonary thromboembolism]]></kwd>
<kwd lng="en"><![CDATA[superior vena cava syndrome]]></kwd>
<kwd lng="en"><![CDATA[superior vena cava thrombosis]]></kwd>
<kwd lng="en"><![CDATA[venous thrombosis]]></kwd>
<kwd lng="en"><![CDATA[jugular thrombosis]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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