Staged surgical management of follicular thyroid carcinoma with extensive thrombus reaching up to right atrium – A case report

Lad, Prashant Praksh; Kumar, Jateendar; Sarvadnya, Jagadish J; Powar, Abhijit S.

doi:10.1016/j.ijscr.2019.10.050

Cited by 4 publications

(1 citation statement)

References 16 publications

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“…This sign indicates the possibility of surgical removal by thrombectomy. 10 However, it is not always easy to distinguish tumour thrombus and venous thrombus as both may occur simultaneously. Therefore, early initiation of anticoagulants to prevent and dissolve the existing thromus is essential.…”

Section: Discussionmentioning

confidence: 99%

Primary thyroid leiomyosarcoma with transvenous extension to the right atrium: a case report

Dúbrava

Martanovič

Pavlovicova

et al. 2022

European Heart Journal - Case Reports

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Background Primary thyroid leiomyosarcoma (LMS) is a very rare tumour with less than 40 published cases yet. Direct metastatic extension into the great cervical veins and caval veins is extremely uncommon. Extension to the right heart has not yet been reported. Case summary A 62-year-old man was admitted for sudden onset of left neck pain and dyspnoea. CT and ultrasonography found an extensive mass of the left great cervical veins, superior vena cava, and a nodule in the left thyroid lobe. Transesophageal echocardiography visualized large protrusion of this mass into the right atrium. Cytology of a thyroid nodule diagnosed a benign hyperplastic nodule. The mass was considered to be likely an extensive thrombus. The patient was started on anticoagulant therapy. The next course was complicated by pulmonary embolism and later by enterorrhagia. Despite clinical stabilization, the patient died suddenly. Autopsy finding differed from the clinical conclusion. Microscopic investigation revealed that the mass seen in the cervical veins down to the right atrium was a spindle cell tumour with a primary site in the left thyroid lobe. Immunohistochemistry was consistent with the final diagnosis of primary thyroid LMS. Discussion Differential diagnosis of the masses of great cervical veins and right atrium can be challenging. Pure venous thrombus and tumour thrombus must be distinguished. Thyroid LMS should also be considered in patients with masses in the right atrium and thyroid nodules.

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Section: Discussionmentioning

confidence: 99%

Primary thyroid leiomyosarcoma with transvenous extension to the right atrium: a case report

Dúbrava

Martanovič

Pavlovicova

et al. 2022

European Heart Journal - Case Reports

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Occlusion of the internal jugular vein in differentiated thyroid carcinoma: Causes and diagnosis

Hartl

Zafereo

Kowalski

et al. 2021

European Journal of Surgical Oncology

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Thyroid Papillary Carcinoma Invasion of the Ipsilateral Internal Jugular Vein: A Case Report

Viduetsky,

Simon,

Humphries

2024

Journal of Diagnostic Medical Sonography

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Thyroid cancer is the common malignancy of the endocrine system. Thyroid neoplasms are usually asymptomatic and slow growing. Uncommonly, aggressive thyroid neoplasms may invade adjacent blood vessels. Internal jugular vein invasion is a rare complication of an aggressive thyroid malignancy. Careful sonographic examination of a thrombus-like structure inside a blood vessel adjacent to the affected thyroid could reveal that the “thrombus” is part of the thyroid mass. The continuity of a thyroid neoplasm into the vascular lumen and inner-“thrombus” vascularity confirms the cancerous invasion. Ultrasound-guided fine-needle aspiration biopsy is standard for differentiating benign versus malignant thyroid nodules. Genetic testing of thyroid nodules provides valuable clinical information in addition to the routine cytological analysis.

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Staged surgical management of follicular thyroid carcinoma with extensive thrombus reaching up to right atrium – A case report

Cited by 4 publications

References 16 publications

Primary thyroid leiomyosarcoma with transvenous extension to the right atrium: a case report

Primary thyroid leiomyosarcoma with transvenous extension to the right atrium: a case report

Occlusion of the internal jugular vein in differentiated thyroid carcinoma: Causes and diagnosis

Thyroid Papillary Carcinoma Invasion of the Ipsilateral Internal Jugular Vein: A Case Report

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