Abstract:
:We report a case of advanced follicular thyroid carcinoma with massive involvement of the great veins of the cervix and mediastinum, and extensive tumor thrombus growing intraluminally into the superior vena cava. The patient, a 70-year-old Japanese woman, was treated successfully by a cooperative surgical team of endocrine and cardiovascular surgeons. Total thyroidectomy with thrombectomy was performed via a minimum phlebotomy in the right brachiocephalic vein, sacrificing only the right internal jugular vein, achieving complete primary tumor resection. She recovered quickly without any complications, and received (131)I radioisotope ablation for her multiple lung metastases. At the time of writing, more than 12 months after surgery, she was well. These treatments thus achieved progression-free survival without impairing her quality of life. Following the case report, we discuss the surgical indications for locally advanced thyroid carcinoma involving the great veins of the mediastinum by reviewing previous reports.
journal_name
Surg Todayjournal_title
Surgery todayauthors
Onoda N,Nakamura M,Hosono M,Sasaki Y,Kawajiri H,Takashima T,Ishikawa T,Hirakawa Kdoi
10.1007/s00595-011-0033-4subject
Has Abstractpub_date
2012-01-01 00:00:00pages
185-90issue
2eissn
0941-1291issn
1436-2813journal_volume
42pub_type
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