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Dikici AS, Yıldırım O, Er ME, et al. A Rare Complication of the Thyroid Malignancies: Jugular Vein Invasion. Pol J Radiol. 2015;80:360-3doi: 10.12659/PJR.894057.
Dikici, A. S., Yıldırım, O., Er, M. E., Kılıç, F., Tutar, O., Kantarcı, F., & Mihmanlı, I. (2015). A Rare Complication of the Thyroid Malignancies: Jugular Vein Invasion. Polish journal of radiology, 80360-3. https://doi.org/10.12659/PJR.894057
Dikici, Atilla Süleyman, et al. "A Rare Complication of the Thyroid Malignancies: Jugular Vein Invasion." Polish journal of radiology vol. 80 (2015): 360-3. doi: https://doi.org/10.12659/PJR.894057
Dikici AS, Yıldırım O, Er ME, Kılıç F, Tutar O, Kantarcı F, Mihmanlı I. A Rare Complication of the Thyroid Malignancies: Jugular Vein Invasion. Pol J Radiol. 2015 Jul 17;80:360-3. doi: 10.12659/PJR.894057. eCollection 2015. PMID: 26236418; PMCID: PMC4509426.
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Pol J Radiol. 2015 Jul 17;80:360-3. doi: 10.12659/PJR.894057. eCollection 2015.

A Rare Complication of the Thyroid Malignancies: Jugular Vein Invasion.

Polish journal of radiology

Atilla Süleyman Dikici, Onur Yıldırım, Mehmet Emin Er, Fahrettin Kılıç, Onur Tutar, Fatih Kantarcı, Ismail Mihmanlı

Affiliations

  1. Department of Radiology, Cerrahpasa Medical Faculty, Istanbul, Turkey.

PMID: 26236418 PMCID: PMC4509426 DOI: 10.12659/PJR.894057

Abstract

BACKGROUND: Unilateral invasion of the internal jugular vein (IJV) after subtotal thyroidectomy caused by local recurrence of papillary thyroid carcinoma is extremely rare. We report a case of papillary thyroid carcinoma which invades IJV with hypervascular tumor thrombus.

CASE REPORT: We report a case of a 52-year-old woman with a history of previous thyroid operation who presented with a 2-month history of a painless, growing, hard, solitary mass on the left side of the neck. Clinical examination revealed also ipsilateral cervical lymphadenopathy. Radiological examination showed a necrotic and cystic mass arising from the operated area extending and invading the left jugular vein wall with hypervascular tumor thrombus. Cytological examination of the mass confirmed a papillary thyroid carcinoma (PTC) and enlarged metastatic lymph nodes. Therefore, total thyroidectomy with left neck dissection and segmental resection of the left internal jugular vein were performed, and the tumor thrombus was cleared successfully.

CONCLUSIONS: Invasion of IJV with hypervascular tumor thrombosis is an extremely rare condition in papillary thyroid carcinoma. Thrombosis of IJV is probably underdiagnosed. Early-stage diagnosis is important for long-term survival rates.

Keywords: Carcinoma, Papillary; Jugular Veins; Neoplasm Invasiveness; Thyroid Neoplasms

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