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Follicular carcinoma of the thyroid with massive invasion into the cervical and mediastinum great veins: Our own experience and literature review
Author(s) -
Nakashima Torahiko,
Nakashima Atsuhiro,
Murakami Daisuke,
Toh Satoshi,
Shiratsuchi Hideki,
Yasumatsu Ryuji,
Tominaga Ryuji,
Komune Shizuo
Publication year - 2012
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.23690
Subject(s) - medicine , thyroid carcinoma , thyroid , internal jugular vein , thrombus , mediastinum , brachiocephalic vein , follicular carcinoma , radiology , carcinoma , surgery , superior vena cava , pathology , papillary carcinoma
Abstract Thyroid carcinomas with massive intralumen invasion of the great veins are extremely rare and reported to have poor prognosis. We report a case of a poorly differentiated follicular carcinoma of the thyroid with extensive invasion into the bilateral internal jugular veins, brachiocephalic vein, and superior vena cava. All of the seven major drainage veins from the thyroid were involved by tumor thrombus. The patient was successfully treated by surgical resection including removal of the tumor thrombus and repair of the great veins. The importance of preoperative radiological findings, treatment, and outcome are discussed along with a literature review.