title: Follicular carcinoma of the thyroid with massive invasion into the cervical and mediastinum great veins: our own experience and literature review.
abstract: Thyroid carcinomas with massive intralumen invasion of the great veins are extremely rare and reported to have poor prognosis. We report a case of a poorly differentiated follicular carcinoma of the thyroid with extensive invasion into the bilateral internal jugular veins, brachiocephalic vein, and superior vena cava. All of the seven major drainage veins from the thyroid were involved by tumor thrombus. The patient was successfully treated by surgical resection including removal of the tumor thrombus and repair of the great veins. The importance of preoperative radiological findings, treatment, and outcome are discussed along with a literature review.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan. nakatora@qent.med.kyushu-u.ac.jp
authors.forename: Torahiko
authors.initials: T
authors.lastname: Nakashima
authors.forename: Atsuhiro
authors.initials: A
authors.lastname: Nakashima
authors.forename: Daisuke
authors.initials: D
authors.lastname: Murakami
authors.forename: Satoshi
authors.initials: S
authors.lastname: Toh
authors.forename: Hideki
authors.initials: H
authors.lastname: Shiratsuchi
authors.forename: Ryuji
authors.initials: R
authors.lastname: Yasumatsu
authors.forename: Ryuji
authors.initials: R
authors.lastname: Tominaga
authors.forename: Shizuo
authors.initials: S
authors.lastname: Komune
mesh_terms: D018263:Adenocarcinoma, Follicular / Q000473:pathology*; D016121:Brachiocephalic Veins / Q000473:pathology*; D005260:Female; D006801:Humans; D007601:Jugular Veins / Q000473:pathology*; D008482:Mediastinum / Q000098:blood supply* / Q000473:pathology; D008875:Middle Aged; D009333:Neck / Q000098:blood supply / Q000473:pathology; D009361:Neoplasm Invasiveness; D013964:Thyroid Neoplasms / Q000473:pathology*; D014057:Tomography, X-Ray Computed; D014683:Vena Cava, Superior / Q000473:pathology*