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Underestimated awakening face-edema caused by a mediastinal syndrome

Gilardi E, Petrucci M, Gabrielli M*, Di Maurizio L,Cordischi C, Ferrigno F,Capacci A, Merra G, and Franceschi F

The "mediastinal syndrome" is an oncological urgency but, in some situations as in the case report described below, it can present itself in a subtle and inextricable way with symptoms and signs that, if singularly evaluated, can be nonspecific. In particular, we report the case of facial edema and a rash that, developing in an unusual and progressive way during about 2 months, concealed a voluminous mediastinal formation due to the localization of non-Hodgkin B-cell lymphoma that caused a "superior caval vein syndrome".