Internal Jugular Vein Tumor Thrombus: A Tricky Question for the Thyroid Surgeon
J.-B. Morvan, Laurys Boudin, D. Métivier, D. Delarbre, Edouard Bouquillon, Juliette Thariat, D. Pascaud, Pierre Yves Marcy
Abstract
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.