This document discusses superior mediastinal syndrome, which involves obstruction of the airways or blood vessels in the mediastinum from a mass. Common causes include lymphoma and germ cell tumors. Symptoms include breathlessness, cough, wheezing, and swelling of the face and upper body due to obstruction of the superior vena cava. Left untreated, superior mediastinal syndrome can lead to life-threatening complications such as cerebral edema.