Gray‐scale and color Doppler findings in bilateral internal jugular vein thrombosis caused by anaplastic carcinoma of the thyroid

Panzironi, G; Rainaldi, R; Ricci, Francesca; Casale, Alessandra; Macciucca, Marina De Vargas

doi:10.1002/jcu.10132

Cited by 24 publications

(15 citation statements)

References 9 publications

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“…Thyroid malignancies with tumor thrombi presence detected by ultrasonography have been reported in literature (9)(10)(11)(12)(13)(14). The invaded veins were the great veins of the neck in these reports.…”

Section: Discussionmentioning

confidence: 87%

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

Kobayashi

Hirokawa²,

Yabuta³

et al. 2011

Thyroid

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Section: Discussionmentioning

confidence: 87%

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

Kobayashi

Hirokawa²,

Yabuta³

et al. 2011

Thyroid

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“…In the majority of cases, IJVT is caused by fast-growing infiltrating malignant disease presenting as superior vena cava syndrome due to compression of several mediastinal structures or as a complication to central venous catheterization [2, 3, 8]. Spontaneous IJVT without any predisposing cause is extremely rare, and a predisposing factor is almost always revealed after close examination [1, 9].…”

Section: Discussionmentioning

confidence: 99%

“…The clinical symptoms may be vague and misleading or absent. However, IJVT may be a part of a superior vena cava (SVC) syndrome, which mostly occurs secondary to malignancy [2, 3]. Compression by a benign, slowly growing, and substernal goiter, leading to stasis and venous thrombosis is rare [4, 5].…”

Section: Introductionmentioning

confidence: 99%

Incidental Detection of Internal Jugular Vein Thrombosis Secondary to Undiagnosed Benign Substernal Goiter

Lønnebakken

Pedersen

Andersen

et al. 2010

Case Reports in Medicine

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Internal jugular vein thrombosis is a serious event with potentially fatal outcome, where the clinical symptoms may be vague or absent. This paper refers to a rare case where routine carotid Doppler ultrasound prior to coronary artery bypass grafting (CABG) and aortic valve replacement (AVR) in a 76-year-old man, incidentally revealed thrombosis of the right internal jugular vein. Thoracic CT demonstrated an underlying, large, benign substernal multinodular goiter, mainly involving the right lobe, causing compression and displacement of the great vessels. A successful, one-stage operation including ligation of the internal jugular vein to avoid pulmonary embolism and hemithyroidectomy, combined with the scheduled CABG and AVR, was performed. This case illustrates that benign substernal goiter may be associated with asymptomatic internal jugular vein thrombosis. Carotid Doppler ultrasound should involve evaluation of the internal jugular vein concerning thrombosis as its presence may reveal space-occupying lesions in the thorax.

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“…Traditionally, IVB disease is considered unresectable, though few case reports of aggressive resection with or without neurological sequelae have been reported in past [2]. Though IVB disease is unresectable, careful and meticulous planning aided by CT scan, Doppler carotid and optimistic approach during surgery can resect the disease in few cases such as this [3,4]. This case also demonstrates that resectability cannot be judged by radiology alone, but dictated intraoperatively by assessing the surgical planes.…”

mentioning

confidence: 84%

Resection of Unresectable Stage IVB Thyroid Cancer Encasing the Carotid Artery

Bhargav

Chandra²,

Srikanth³

et al. 2014

Indian J Surg

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Stage IVB thyroid cancer includes carotid encasement or infiltration of the prevertebral fascia and mediastinal vessels. Stage IVB disease is considered unresectable due to grave consequences of attempting resection. We report a rare case of carotid artery engulfment being resected uneventfully without carotid resection.Keywords Anaplastic thyroid cancer . Carotid artery encasement . Resection . Total thyroidectomy . Prevertebral fascia . Mediastinal vessels A 65-year-old lady presented with large nontoxic multinodular goitre (MNG) since 10 years and respiratory distress for 1 month. Computerised tomography showed a large heterogenous mass and lymphadenopathy encasing the left common carotid artery (CCA) and trachea with extension up to the arch of aorta (Fig. 1). Doppler ultrasound showed normal blood flow at the site of carotid encasement. Through neck approach and sternotomy, total thyroidectomy with left modified radical neck dissection and mediastinal dissection was done. The carotid artery could be freed completely from the tumour and left lymph nodal mass, though it breached the carotid sheath (Fig. 2). Surgery was uneventful and histopathology was papillary thyroid cancer with anaplastic dedifferentiation and 22/44 lymph nodes positive for metastasis. Final diagnosis was T4bN1bM0-stage IVB.Stage IVB includes a differentiated thyroid cancer (DTC) with either encasement of the carotid artery or infiltration of the prevertebral fascia and mediastinal vessels [1]. In our case, the tumour along with jugular lymph nodal mass had encased the common carotid artery on the left side, though usually structures like the carotid sheath and oesophagus are less vulnerable to invasion. In this case, a long-standing DTC upstaged to anaplastic cancer at the site of invasion might have led to carotid sheath invasion. Traditionally, IVB disease is considered unresectable, though few case reports of aggressive resection with or without neurological sequelae have been reported in past [2]. Though IVB disease is unresectable, careful and meticulous planning

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Gray‐scale and color Doppler findings in bilateral internal jugular vein thrombosis caused by anaplastic carcinoma of the thyroid

Cited by 24 publications

References 9 publications

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

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

Incidental Detection of Internal Jugular Vein Thrombosis Secondary to Undiagnosed Benign Substernal Goiter

Resection of Unresectable Stage IVB Thyroid Cancer Encasing the Carotid Artery

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