Venous obstruction of thyroid malignancy origin: the Antoine Lacassagne Institute experience

Marcy, Pierre-Yves; Thariat, J.; Bozec, Alexandre; Poissonnet, G.; Benisvy, Danielle; Dassonville, O.

doi:10.1186/1477-7819-7-40

Cited by 26 publications

(23 citation statements)

References 8 publications

(12 reference statements)

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“…Tumor thrombus in the thyroid veins or the internal jugular veins may be caused by thyroid malignancy [34,35]. US is a valuable noninvasive method for the characterization of tumor extension into the great veins of the neck and can be recommended for visualizing early venous invasion in cases of suspected thyroid malignancy.…”

Section: Differentiating Benign and Pathological Us Patterns Of The Tmentioning

confidence: 99%

2013 European Thyroid Association Guidelines for Cervical Ultrasound Scan and Ultrasound-Guided Techniques in the Postoperative Management of Patients with Thyroid Cancer

Leenhardt¹,

Erdoğan²,

Hegedűs³

et al. 2013

Eur Thyroid J

329

288

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Cervical ultrasound scanning (US) is considered a key examination, by all major thyroid and endocrine specialist societies for the postoperative follow-up of thyroid cancer patients to assess the risk of recurrence. Neck US imaging is readily available, non-invasive, relatively easy to perform, cost-effective, and can guide diagnostic and therapeutic procedures with low complication rates. Its main shortcoming is its operator-dependency. Because of the pivotal role of US in the care of thyroid cancer patients, the European Thyroid Association convened a panel of international experts to review technical aspects, indications, results, and limitations of cervical US in the initial staging and follow-up of thyroid cancer patients. The main aim is to establish guidelines for both a cervical US scanning protocol and US-guided diagnostic and therapeutic procedures in patients with thyroid cancer. This report presents (1) standardization of the US scanning procedure, techniques of US-guided fine-needle aspiration, and reporting of findings; (2) definition of criteria for classification of malignancy risk based on cervical US imaging characteristics of neck masses and lymph nodes; (3) indications for US-guided fine-needle aspiration and for biological in situ assessments; (4) proposal of an algorithm for the follow-up of thyroid cancer patients based on risk stratification following histopathological and cervical US findings, and (5) discussion of the potential use of US-guided localization and ablation techniques for locoregional thyroid metastases.

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Section: Differentiating Benign and Pathological Us Patterns Of The Tmentioning

confidence: 99%

2013 European Thyroid Association Guidelines for Cervical Ultrasound Scan and Ultrasound-Guided Techniques in the Postoperative Management of Patients with Thyroid Cancer

Leenhardt¹,

Erdoğan²,

Hegedűs³

et al. 2013

Eur Thyroid J

329

288

View full text Add to dashboard Cite

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“…These are very likely to become symptomatic for the same in due course of time. 3 Intraluminal extension is not an absolute contraindication to surgical management of these patients. Tumor thrombus does not necessarily invade wjoes the vascular wall in all cases.…”

Section: Discussionmentioning

confidence: 99%

Surgical Techniques for Dealing with Intraluminal Thrombus of Great Vessels in Advanced Differentiated Thyroid Carcinoma

Ramakant¹,

Dhanda²,

Anand³

et al. 2017

World Journal of Endocrine Surgery

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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%

“…Thus, aggressive surgery is thought to be justified for DTC with SVC involvement [11]. Several successful operations for poorly DTC [13,15,18,20] or Hurthle cell carcinoma [21] have been reported, even when the surgical indications might have been limited because of its invasive nature. Rapid progression of the disease with systemic dissemination after surgery for ATC [7,8], and for PTC possibly transformed to ATC [14], have been reported.…”

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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Venous obstruction of thyroid malignancy origin: the Antoine Lacassagne Institute experience

Abstract: Background and aims: To show the benefits of Ultrasonography in the diagnosis of great vein involvement in the neck and mediastinum in thyroid malignancies (primary or secondary) in our experience and to report patient outcomes.

Cited by 26 publications

References 8 publications

2013 European Thyroid Association Guidelines for Cervical Ultrasound Scan and Ultrasound-Guided Techniques in the Postoperative Management of Patients with Thyroid Cancer

2013 European Thyroid Association Guidelines for Cervical Ultrasound Scan and Ultrasound-Guided Techniques in the Postoperative Management of Patients with Thyroid Cancer

Surgical Techniques for Dealing with Intraluminal Thrombus of Great Vessels in Advanced Differentiated Thyroid Carcinoma

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

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