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A Journal on Surgery

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Chirurgia 2001 June-August;14(3-4):161-4

language: Italian

Invasion of the internal jugular vein due to thyroid anaplastic carcinoma. Case report

Ros S., Perez L., Salcedo D., Ciutto T., Gomez L., Pelayo A., Scaramucci M.


We present a case of a 41 male patient with a macroscopic tumoral venous thrombus resulting from the invasion of the internal jugular vein due to a thyroid carcinoma, presenting as an inflammatory mass in the neck, painful, with a rapid enlargement, and fever. We work at a level 2 hospital and our endocrine surgery department performed last year 70 thyroid operations; the pathology of the majority of these consisting of multinodular goitres (59), followed by thyroid neoplasms (11). The diagnosis of this thrombus was made at the patient's admission through sonography and CT. These imaging techniques were important insofar as they permitted preoperative planning of the operation and a prompt diagnosis. The surgical treatment consisted of en bloc excision of the vein including the thrombus and the thyroid. The histologic diagnosis was of an anaplastic carcinoma of the thyroid with direct invasion of the jugular. It is an interesting case because the literature reviewed shows a few but more advanced cases like this one. Two years after this treatment the patient is alive and receiving oncological treatment due to a pulmonary metastasis. This is an original case because of the macroscopic venous thrombus and this kind of presentation of the illness.

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