Chylothorax with superior vena caval syndrome as the initial presentation of squamous cell lung cancer: A case report and review of literature

Chylothorax is a rare complication in patients of lung cancer developing usually after cardiothoracic surgery or radiotherapy to chest. Chylothorax as an initial presentation is a rare manifestation of lung cancer. We report a case of squamous cell carcinoma of lung diagnosed after patient with features of superior vena caval (SVC) syndrome was placed on intercostal drainage tube and frank milky white fluid appeared. SVC syndrome was managed with hypofractionated radiotherapy to the mediastinum. However, chylothorax resolved only after two cycles of chemotherapy. A review of available literature on this rare association is also discussed along with.