Korean J Endocr Surg.  2006 Dec;6(2):102-105. 10.16956/kjes.2006.6.2.102.

Anaplastic Thyroid Carcinoma with Tumor Thrombus of the Internal Jugular Vein: A Case Report

Affiliations
  • 1Department of Surgery, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu, Korea. drbreast@catholic.ac.kr
  • 2Department of Clinical Pathology, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu, Korea.

Abstract

Anaplastic thryoid carcinomas are very aggressive and lethal solid tumors; they sometimes show microscopic vascular invasions, but they rarely result in tumor thrombus in the internal jugular vein or in the other great veins of the neck. We encountered a 64-year-old woman with anaplastic thyroid carcinoma and a tumor thrombus that extended from the Lt. internal jugular vein to the innominate vein. Palliative total thyroidectomy, modified radical neck dissection and segmental resection of the Lt. internal jugular vein were done, along with removal of the intravascular tumor thrombus. We recommended postoperative radiotherapy and chemotherapy, but the patient refused additional treatments. We report here on this case for which we first experienced anaplastic thryoid carcinoma associated with tumor thrombus of the internal jugular vein.

Keyword

Anaplastic thryoid carcinoma; Internal jugular vein; Tumor thrombosis

MeSH Terms

Brachiocephalic Veins
Drug Therapy
Female
Humans
Jugular Veins*
Middle Aged
Neck
Neck Dissection
Radiotherapy
Thrombosis*
Thyroid Carcinoma, Anaplastic*
Thyroidectomy
Veins
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