Internal Jugular Vein Tumor Thrombus: A Tricky Question for the Thyroid Surgeon

• Published in: Current oncology (Toronto) Vol. 29; no. 12; pp. 9235 - 9241
• Main Authors: Morvan, Jean-Baptiste, Boudin, Laurys, Metivier, Denis, Delarbre, David, Bouquillon, Edouard, Thariat, Juliette, Pascaud, Damien, Marcy, Pierre-Yves
• Format: Journal Article
• Language: English
• Published: Switzerland MDPI AG 26-11-2022; MDPI
• Subjects: Blood clot; Case Report; Female; Humans; internal jugular vein; Jugular Veins - diagnostic imaging; Jugular Veins - pathology; Jugular Veins - surgery; Medical research; Medicine, Experimental; Metastasis; Middle Aged; Surgeons; Thrombosis; thyroid cancer; Thyroid diseases; Thyroid Neoplasms - diagnosis; ultrasound scan; venous thrombosis; France; thyroid cancer; ultrasound scan; internal jugular vein; venous thrombosis
• ISSN: 1718-7729; 1198-0052; 1718-7729
• DOI: 10.3390/curroncol29120723

Internal jugular vein tumor thrombus is an extremely rare condition in thyroid carcinoma, but it does exist. Correlated with greater aggressiveness with a higher incidence of distant metastases at diagnosis and a higher recurrence rate, this important prognostic element should be systematically investigated by ultrasound operators in all patients presenting with thyroid carcinoma. The patient's follow-up must be careful. This can be a trap that surgeons must look for in their preoperative checklist. We report the case of a 58-year-old woman with an IJV thrombus associated with multiple bone metastases. She underwent successful surgical treatment, and postoperative pathology showed a poorly differentiated follicular carcinoma of the thyroid and a tumor thrombus in the internal jugular vein.