Insular carcinoma of the thyroid with jugular vein invasion

Background. Gross angioinvasion with intraluminal tumor thrombus is rarely seen in thyroid cancer, with few cases reported in the literature. Methods. We report an insular carcinoma of the thyroid displaying this aggressive local invasion and angioinvasion of the internal jugular chain. Complete sur...

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Bibliographic Details
Published in:Head & neck 2004-07, Vol.26 (7), p.642-646
Main Authors: Leong, Jern‐Lin, Wai Yuen, Heng, LiVolsi, Virginia A., Loevner, Laurie, Narula, Navneet, Baloch, Zubair, Weber, Randal S.
Format: Article
Language:English
Subjects:
Aged
Biological and medical sciences
Carcinoma, Papillary, Follicular - complications
Carcinoma, Papillary, Follicular - pathology
Carcinoma, Papillary, Follicular - surgery
Deglutition Disorders - etiology
Fatal Outcome
Humans
insular carcinoma
intraluminal tumor
Jugular Veins - pathology
Lung Neoplasms - surgery
Lymph Node Excision
Magnetic Resonance Imaging
Male
Medical sciences
Neoplasm Invasiveness
Otorhinolaryngology. Stomatology
Palliative Care
surgical resection
thyroid
Thyroid Neoplasms - complications
Thyroid Neoplasms - pathology
Thyroid Neoplasms - surgery
Thyroidectomy
vascular invasion
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Summary:Background. Gross angioinvasion with intraluminal tumor thrombus is rarely seen in thyroid cancer, with few cases reported in the literature. Methods. We report an insular carcinoma of the thyroid displaying this aggressive local invasion and angioinvasion of the internal jugular chain. Complete surgical removal of the intraluminal disease, regional metastasis, and primary tumor was carried out. Results. Adjuvant external beam radiation therapy and iodine‐131 were administered, and the patient died with pulmonary metastases 30 months after surgery. No locoregional recurrence was noted at last follow‐up. Conclusions. Treatment of insular carcinoma of the thyroid with invasion of the internal jugular vein is amenable to surgical resection. Postoperative radioactive iodine and external beam radiotherapy can achieve locoregional disease control and prolonged survival. © 2004 Wiley Periodicals, Inc. Head Neck 26: 642–646, 2004
ISSN:1043-3074
1097-0347
DOI:10.1002/hed.20037