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      • Record: found
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      Intraluminal extension of papillary thyroid carcinoma into the Internal Jugular Vein; a case report

      case-report

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          Abstract

          Background

          Papillary thyroid carcinoma (PTC), being the most common thyroid malignancy, is a slow-growing tumor and is usually limited to the thyroid. Extra thyroid extension is uncommon; besides, invasion to the vasculature seems to be extremely rare and usually indicates aggressive nature of the disease.

          Case presentation

          We present a case of a 40-year-old lady who referred with a palpable neck mass a month after total thyroidectomy which its histopathologic examination revealed follicular variant of PTC; the same variant as prior thyroidectomy. Preoperative ultrasonography failed to comment on the intravascular component of the mass. Surgical procedure confirmed a mass attaching and infiltrating to the internal jugular vein, which turned out to be persistent disease.

          Conclusions

          Awareness of this entity is important for surgeons, oncologists and radiologist as it can influence patient management.

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          Most cited references9

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          Papillary carcinoma of the thyroid. A clinicopathologic study of 241 cases treated at the University of Florence, Italy.

          M Carcangiu, A Castagnoli, A Pupi … (1985)
          A clinicopathologic study of 241 cases of papillary thyroid carcinoma treated at the University of Florence Medical School, Florence, Italy is presented. The features of greatest prognostic value were patient's age at presentation, small tumor size, total encapsulation, extrathyroid extension, multicentricity, and presence of distant metastases. The prognosis of the disease was not influenced by the pattern of tumor growth, presence of solid areas, initial presence or subsequent development of cervical lymph node metastases, type of initial thyroid operation, performance of neck dissection, or prophylactic administration of radioactive iodine. It is concluded that conservative thyroid surgery in the form of lobectomy, without neck dissection or prophylactic administration of iodine 131 (131I), constitutes adequate therapy for most cases of papillary thyroid carcinoma. More extensive therapy should be considered for older patients and for those in whom the tumor exhibits extrathyroid extension or easily detectable multicentricity.
          Article 0 comments Cited 61 times – based on 0 reviews     Review now
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            Operative management of locally advanced, differentiated thyroid cancer.

            Laura Y Wang, Iain Nixon, Snehal Patel … (2016)
            The majority of differentiated thyroid cancer tends to present with limited locoregional disease, leading to excellent long-term survival after operative treatment. Even patients with advanced local disease may survive for long periods with appropriate treatment. The aim of this study is to present our institutional experience of the management of locally advanced differentiated thyroid cancer and to analyze factors predictive of outcome.
            Article 0 comments Cited 17 times – based on 0 reviews     Review now
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              Contemporary management of papillary carcinoma of the thyroid gland.

              M. Rosenbaum, C McHenry (2009)
              The incidence of thyroid cancer is increasing by 4% per year. Thyroid cancer has become the eighth most common malignancy diagnosed in women. Papillary cancer accounts for 80% of all thyroid cancer. The management of papillary thyroid cancer is challenging, primarily because there have been no prospective randomized trials to help guide therapeutic decision making. The purpose of this article is to discuss the contemporary management of papillary thyroid cancer, including the diagnosis and pre-operative evaluation, surgical management, postoperative thyroid hormone and radioiodine therapy, long-term follow-up, prognosis and management of recurrent and metastatic disease. The role of molecular markers to enhance the cytological diagnosis of papillary cancer and new molecular-based therapies will also be reviewed.
              Article 0 comments Cited 11 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Ali Taheri Akerdi: ata.110.iran@gmail.com
                Journal
                Journal ID (nlm-ta): BMC Endocr Disord
                Journal ID (iso-abbrev): BMC Endocr Disord
                Title: BMC Endocrine Disorders
                Publisher: BioMed Central (London )
                ISSN (Electronic): 1472-6823
                Publication date (Electronic): 23 April 2024
                Publication date PMC-release: 23 April 2024
                Publication date Collection: 2024
                Volume: 24
                Electronic Location Identifier: 49
                Affiliations
                [1 ]Department of Pathology, School of Medicine, Shiraz University of Medical Sciences, ( https://ror.org/01n3s4692) Shiraz, Iran
                [2 ]Trauma Research Center, Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, ( https://ror.org/01n3s4692) Shiraz, Iran
                Article
                Publisher ID: 1580
                DOI: 10.1186/s12902-024-01580-x
                PMC ID: 11036620
                SO-VID: 14abab8b-dcdf-40e5-8d7e-80211f992d04
                Copyright © © The Author(s) 2024
                License:

                Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

                History
                Date received : 2 July 2023
                Date accepted : 15 April 2024
                Categories
                Subject: Case Report
                Custom metadata
                issue-copyright-statement © BioMed Central Ltd., part of Springer Nature 2024

                ScienceOpen disciplines: Endocrinology & Diabetes
                Keywords: papillary thyroid carcinoma,thyroidectomy,intravascular
                Data availability:
                ScienceOpen disciplines: Endocrinology & Diabetes
                Keywords: papillary thyroid carcinoma, thyroidectomy, intravascular

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