ETA2024 Poster Presentations Thyoid cancer case reports-2 (10 abstracts)
Massive thrombosis of the internal jugular vein by a thyroid gland carcinoma
Mariam Ben Ayed 1 , Ines Kharrat 2 , Syrine Ayadi 2 , Youcef Hbaieb 2 , Faiza Grati 3 , Imen Zouche 2 , Mohamed Amine Chaabouni 2 & Ilhem Charfeddine 2
1Sfax Medical School, Department of Otorhinolaryngology, Habib Bourguiba University Hospital, Sfax, Tunisia; 2University of Sfax, Sfax Medical School, Lr23es01 Laboratory, Tunisia, Department of Otorhinolaryngology Head and Neck Surgery, Habib Bourguiba Hospital, Sfax, Tunisia, Tunisia; 3University of Sfax, Sfax Medical School, Lr23es01 Laboratory, Tunisia, Department of Anesthesiology, Habib Bourguiba Hospital, Sfax, Tunisia, Tunisia
Objectives: The purpose of our study is to describe the management of the a neoplastic internal jugular vein thrombosis secondary to a vesicular thyroid gland carcinoma that was not accessible through a cervical approach.
Materials and methods: We described the case of a vesicular thyroid gland carcinoma that resulted in an enormous neoplastic thrombosis of the internal jugular vein that was managed in our department using a cervico-thoracic approach.
Results: A 64-year-old female was referred to our department for a right thyroid gland nodule. It was classified as EU TIRADS V at the ultrasound and was associated to clinically and radiologically suspicious lymph nodes. Peri-operatively, we noted a thyroid gland mass was indurated at palpation. It also infiltrated the internal jugular vein massively. The latter invasion was located beyond the sternal notch and its resection was juged as not accessible using a cervical approach. Frozen-section examination confirmed a vesicular thyroid gland carcinoma. Thus, we performed a total thyroidectomy, with a bilateral central and lateral neck dissection that included the II, III and IV neck lymph nodes sectors. Since the right jugular vein was invaded by a thrombus that reached the level of the superior mediastinum, we performed a manubriotomy to reach the totality of the thrombosis and to ensure a carcinological and total resection of the invaded portion of the internal jugular vein. No post-operative complications were recorded and the patient received radioactive iodine treatment.
Conclusion : A neoplastic invasion of the internal jugular vein by a differentiated thyroid gland carcinoma is a very rare occurrence and is associated to a worse prognosis. The pre-operative diagnosis of such an occurrence is important in order to plan its management modality and the surgical procedure.
Article tools
My recent searches
My recently viewed abstracts
Authors
Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
© Bioscientifica 2024 |
Privacy policy |
Cookie settings
BiosciAbstracts
Bioscientifica Abstracts is the gateway to a series of products that provide a permanent, citable record of abstracts for biomedical and life science conferences.
Find out more