Follicular Carcinoma of the Thyroid Appearing as an Intraluminal Superior Vena Cava Tumor

Pérez, Darío Morais

doi:10.1001/archsurg.1984.01390150061014

Cited by 34 publications

(22 citation statements)

References 7 publications

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“…In contrast to FTCs, PTC demonstrate a strong propensity for regional nodal involvement and its haematogenous spread is rare [3]. Macroscopic tumor thrombus in the great vein associated with thyroid cancer can occur either through tumor invasion of the venous wall or disease extending along intraluminal pathways from the draining veins of the thyroid [7,8]. Intravascular tumor spread generally starts at the thyroid veins with intraluminal invasion by malignant cells and deposition of fibrin, leading to continued growth [9].…”

Section: Discussionmentioning

confidence: 99%

The Clinical Importance of Tumor Thrombus in Internal Jugular Vein Related to Papillary Thyroid Cancer

Uludağ¹,

Özel²,

Aygün³

2019

SCR

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Objective:We aimed to present a case with a previous thyroid surgery, who developed an internal jugular vein thrombus due to papillary thyroid cancer (PTC) in the remnant tissue. Case: A 54-year-old female patient, with a previous subtotal thyroidectomy, presented with a mass on the left side of her neck. Thyroid ultrasound disclosed a heterogeneous nodule of 67x48x32 mm in the left thyroid lobe. An isoechoic tumor thrombus was observed extending intraluminally from the middle thyroid vein to the internal jugular vein. No lymph node or solid organ invasion were detected in the neck. Fine needle aspiration biopsy revealed cytological findings consistent with PTC. Total thyroidectomy, left sided central neck dissection and partial left jugular vein resection was performed. The pathologic examination revealed mid-differentiated unifocal encapsulated follicular variant of PTC. The whole-body scan performed after the postoperative treatment of 150 mCi of radioactive iodine, revealed multiple lung metastases. Conclusion:The presence of a tumor thrombus in the thyroid vein or internal jugular vein is strongly suspicious for malignancy even in the absence of malignant findings on cytology. It is an important finding that is highly suspicious for distant metastasis in the cytologically diagnosed patients.

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Section: Discussionmentioning

confidence: 99%

The Clinical Importance of Tumor Thrombus in Internal Jugular Vein Related to Papillary Thyroid Cancer

Uludağ¹,

Özel²,

Aygün³

2019

SCR

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“…Some previous reports documented the extension of follicular carcinoma into the internal jugular veins and superior vena cava (2)(3)(4)(5). Bussani and Silvestri (6) reported a rare case of neoplastic thrombotic endocarditis of the tricuspid valve in a patient with poorly differentiated follicular carcinoma of the thyroid.…”

Section: Discussionmentioning

confidence: 99%

Tumor Thrombus of Thyroid Malignancies in Veins: Importance of Detection by Ultrasonography

Kobayashi

Hirokawa²,

Yabuta³

et al. 2011

Thyroid

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“…They also reviewed six such cases reported before 1940, all of which resulted in death as a direct result of the vascular occlusion shortly after diagnosis. We reviewed 19 cases of SVC involvement from DTC, reported since the review by Thompson et al [4,5,[9][10][11][12][13][14][15][16][17][18][19][20] (Table 1). The age of the patients ranged from 26 to 84 years (average 65 years), and there were 4 men and 15 women, with no predominance in laterality.…”

Section: Discussionmentioning

confidence: 99%

Successful surgical treatment of advanced follicular thyroid carcinoma with tumor thrombus infiltrating the superior vena cava: report of a case

et al. 2011

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We report a case of advanced follicular thyroid carcinoma with massive involvement of the great veins of the cervix and mediastinum, and extensive tumor thrombus growing intraluminally into the superior vena cava. The patient, a 70-year-old Japanese woman, was treated successfully by a cooperative surgical team of endocrine and cardiovascular surgeons. Total thyroidectomy with thrombectomy was performed via a minimum phlebotomy in the right brachiocephalic vein, sacrificing only the right internal jugular vein, achieving complete primary tumor resection. She recovered quickly without any complications, and received (131)I radioisotope ablation for her multiple lung metastases. At the time of writing, more than 12 months after surgery, she was well. These treatments thus achieved progression-free survival without impairing her quality of life. Following the case report, we discuss the surgical indications for locally advanced thyroid carcinoma involving the great veins of the mediastinum by reviewing previous reports.

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Follicular Carcinoma of the Thyroid Appearing as an Intraluminal Superior Vena Cava Tumor

Cited by 34 publications

References 7 publications

The Clinical Importance of Tumor Thrombus in Internal Jugular Vein Related to Papillary Thyroid Cancer

The Clinical Importance of Tumor Thrombus in Internal Jugular Vein Related to Papillary Thyroid Cancer

Tumor Thrombus of Thyroid Malignancies in Veins: Importance of Detection by Ultrasonography

Successful surgical treatment of advanced follicular thyroid carcinoma with tumor thrombus infiltrating the superior vena cava: report of a case

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