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CASE REPORT
Year : 2014  |  Volume : 11  |  Issue : 1  |  Page : 29-31

Metastatic follicular carcinoma of the thyroid with tumor thrombus extending on to the superior vena cava


1 Department of Surgical Oncology, Cancer Institute (Women's Indian Association), Adyar, Chennai, India
2 Department of Preventive Oncology, Cancer Institute (Women's Indian Association), Adyar, Chennai, India

Correspondence Address:
Arvind Krishnamurthy
Department of Surgical Oncology, Cancer Institute (WIA), 36, Sardar Patel Rd, Adyar, Chennai - 600 020
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0973-0354.124193

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Microscopic vascular invasion is well-recognized phenomenon in thyroid cancer especially in the follicular and poorly differentiated histological variants; however, massive tumor invasion of the great veins is very rare. Management of these patients is technically challenging and is further complicated due to lack of evidence-based guidelines. Complete resection whenever possible is recommended by most authors as was successfully done in our patient. With the best available evidence, a multimodality therapeutic approach comprising surgery, radioiodine, and external beam radiotherapy may give the best result for patients in whom thyroid cancer is occluding the great veins. We share our experience of thyroid cancer patient with a massive tumor thrombus involving the great veins of the neck and medistinum.


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