Metastatic renal cell carcinoma to the thyroid with cervicothoracic venous tumor thrombosis
Introduction Metastatic renal cell carcinoma (RCC) represents 25%–42% of metastatic thyroid malignancies. Propensity for RCC to demonstrate intravascular extension to the inferior vena cava is well documented. We present an analogous phenomenon of intravascular extension to the internal jugular vein...
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| Veröffentlicht in: | Head & neck 2023-07, Vol.45 (7), p.E31-E35 |
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| creator | Hellums, Ryan N. Kovatch, Kevin J. Friscia, Michael E. Schwartz, Tyler R. Pellitteri, Phillip K. |
| description | Introduction
Metastatic renal cell carcinoma (RCC) represents 25%–42% of metastatic thyroid malignancies. Propensity for RCC to demonstrate intravascular extension to the inferior vena cava is well documented. We present an analogous phenomenon of intravascular extension to the internal jugular vein (IJV) from thyroid gland metastasis.
Methods
A 69‐year‐old male presented with metastatic RCC of the right thyroid lobe. Imaging demonstrated tumor thrombosis of the ipsilateral IJV, extending inferiorly to the junction of the brachiocephalic, subclavian, and internal jugular veins within the mediastinum.
Results
Surgical excision required control of both the IJV in the neck and mediastinal venous great vessels via sternotomy, prior to subtotal thyroidectomy and venotomy for en bloc resection.
Conclusion
This case report describes metastatic RCC to the thyroid gland with cervicothoracic venous tumor thrombosis successfully treated with subtotal thyroidectomy, sternotomy for venotomy and tumor thrombectomy, and preservation of IJV conduit. |
| doi_str_mv | 10.1002/hed.27391 |
| format | Article |
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Metastatic renal cell carcinoma (RCC) represents 25%–42% of metastatic thyroid malignancies. Propensity for RCC to demonstrate intravascular extension to the inferior vena cava is well documented. We present an analogous phenomenon of intravascular extension to the internal jugular vein (IJV) from thyroid gland metastasis.
Methods
A 69‐year‐old male presented with metastatic RCC of the right thyroid lobe. Imaging demonstrated tumor thrombosis of the ipsilateral IJV, extending inferiorly to the junction of the brachiocephalic, subclavian, and internal jugular veins within the mediastinum.
Results
Surgical excision required control of both the IJV in the neck and mediastinal venous great vessels via sternotomy, prior to subtotal thyroidectomy and venotomy for en bloc resection.
Conclusion
This case report describes metastatic RCC to the thyroid gland with cervicothoracic venous tumor thrombosis successfully treated with subtotal thyroidectomy, sternotomy for venotomy and tumor thrombectomy, and preservation of IJV conduit.</description><identifier>ISSN: 1043-3074</identifier><identifier>EISSN: 1097-0347</identifier><identifier>DOI: 10.1002/hed.27391</identifier><identifier>PMID: 37141398</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley & Sons, Inc</publisher><subject>Jugular vein ; Kidney cancer ; Malignancy ; Mediastinum ; Metastases ; Renal cell carcinoma ; surgical oncology ; Thrombosis ; Thyroid ; Thyroid carcinoma ; Thyroidectomy ; tumor thrombus ; Tumors ; venotomy</subject><ispartof>Head & neck, 2023-07, Vol.45 (7), p.E31-E35</ispartof><rights>2023 Wiley Periodicals LLC.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3201-59161c22af1916c65e1caeaffa3f10edc7a7a8a4ec83097c0a5bd750495b4d673</citedby><cites>FETCH-LOGICAL-c3201-59161c22af1916c65e1caeaffa3f10edc7a7a8a4ec83097c0a5bd750495b4d673</cites><orcidid>0000-0002-5531-0511</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fhed.27391$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fhed.27391$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37141398$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hellums, Ryan N.</creatorcontrib><creatorcontrib>Kovatch, Kevin J.</creatorcontrib><creatorcontrib>Friscia, Michael E.</creatorcontrib><creatorcontrib>Schwartz, Tyler R.</creatorcontrib><creatorcontrib>Pellitteri, Phillip K.</creatorcontrib><title>Metastatic renal cell carcinoma to the thyroid with cervicothoracic venous tumor thrombosis</title><title>Head & neck</title><addtitle>Head Neck</addtitle><description>Introduction
Metastatic renal cell carcinoma (RCC) represents 25%–42% of metastatic thyroid malignancies. Propensity for RCC to demonstrate intravascular extension to the inferior vena cava is well documented. We present an analogous phenomenon of intravascular extension to the internal jugular vein (IJV) from thyroid gland metastasis.
Methods
A 69‐year‐old male presented with metastatic RCC of the right thyroid lobe. Imaging demonstrated tumor thrombosis of the ipsilateral IJV, extending inferiorly to the junction of the brachiocephalic, subclavian, and internal jugular veins within the mediastinum.
Results
Surgical excision required control of both the IJV in the neck and mediastinal venous great vessels via sternotomy, prior to subtotal thyroidectomy and venotomy for en bloc resection.
Conclusion
This case report describes metastatic RCC to the thyroid gland with cervicothoracic venous tumor thrombosis successfully treated with subtotal thyroidectomy, sternotomy for venotomy and tumor thrombectomy, and preservation of IJV conduit.</description><subject>Jugular vein</subject><subject>Kidney cancer</subject><subject>Malignancy</subject><subject>Mediastinum</subject><subject>Metastases</subject><subject>Renal cell carcinoma</subject><subject>surgical oncology</subject><subject>Thrombosis</subject><subject>Thyroid</subject><subject>Thyroid carcinoma</subject><subject>Thyroidectomy</subject><subject>tumor thrombus</subject><subject>Tumors</subject><subject>venotomy</subject><issn>1043-3074</issn><issn>1097-0347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNp1kD9PwzAQxS0EoqUw8AVQJCaGtP6XOBlRKRSpiAUmBuviOEqqpC6206rfHpfQkeHunk6_e9I9hG4JnhKM6azW5ZQKlpMzNCY4FzFmXJwfNWcxw4KP0JVza4wxSzm9RCMmCCcsz8bo6017cB58oyKrN9BGSrehgVXNxnQQeRP5Woc6WNOU0b7xdUDsrlHG18aCCoc7vTG9i3zfGRtIa7rCuMZdo4sKWqdv_uYEfT4vPubLePX-8jp_XMWKUUziJCcpUZRCRYJSaaKJAg1VBawiWJdKgIAMuFYZC88pDElRigTzPCl4mQo2QfeD79aa7147L9emt-EXJ2lGaZ4kOeOBehgoZY1zVldya5sO7EESLI8xyhCj_I0xsHd_jn3Rhe2JPOUWgNkA7JtWH_53ksvF02D5A0hBfTc</recordid><startdate>202307</startdate><enddate>202307</enddate><creator>Hellums, Ryan N.</creator><creator>Kovatch, Kevin J.</creator><creator>Friscia, Michael E.</creator><creator>Schwartz, Tyler R.</creator><creator>Pellitteri, Phillip K.</creator><general>John Wiley & Sons, Inc</general><general>Wiley Subscription Services, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7TK</scope><scope>K9.</scope><orcidid>https://orcid.org/0000-0002-5531-0511</orcidid></search><sort><creationdate>202307</creationdate><title>Metastatic renal cell carcinoma to the thyroid with cervicothoracic venous tumor thrombosis</title><author>Hellums, Ryan N. ; Kovatch, Kevin J. ; Friscia, Michael E. ; Schwartz, Tyler R. ; Pellitteri, Phillip K.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3201-59161c22af1916c65e1caeaffa3f10edc7a7a8a4ec83097c0a5bd750495b4d673</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Jugular vein</topic><topic>Kidney cancer</topic><topic>Malignancy</topic><topic>Mediastinum</topic><topic>Metastases</topic><topic>Renal cell carcinoma</topic><topic>surgical oncology</topic><topic>Thrombosis</topic><topic>Thyroid</topic><topic>Thyroid carcinoma</topic><topic>Thyroidectomy</topic><topic>tumor thrombus</topic><topic>Tumors</topic><topic>venotomy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hellums, Ryan N.</creatorcontrib><creatorcontrib>Kovatch, Kevin J.</creatorcontrib><creatorcontrib>Friscia, Michael E.</creatorcontrib><creatorcontrib>Schwartz, Tyler R.</creatorcontrib><creatorcontrib>Pellitteri, Phillip K.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><jtitle>Head & neck</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hellums, Ryan N.</au><au>Kovatch, Kevin J.</au><au>Friscia, Michael E.</au><au>Schwartz, Tyler R.</au><au>Pellitteri, Phillip K.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Metastatic renal cell carcinoma to the thyroid with cervicothoracic venous tumor thrombosis</atitle><jtitle>Head & neck</jtitle><addtitle>Head Neck</addtitle><date>2023-07</date><risdate>2023</risdate><volume>45</volume><issue>7</issue><spage>E31</spage><epage>E35</epage><pages>E31-E35</pages><issn>1043-3074</issn><eissn>1097-0347</eissn><abstract>Introduction
Metastatic renal cell carcinoma (RCC) represents 25%–42% of metastatic thyroid malignancies. Propensity for RCC to demonstrate intravascular extension to the inferior vena cava is well documented. We present an analogous phenomenon of intravascular extension to the internal jugular vein (IJV) from thyroid gland metastasis.
Methods
A 69‐year‐old male presented with metastatic RCC of the right thyroid lobe. Imaging demonstrated tumor thrombosis of the ipsilateral IJV, extending inferiorly to the junction of the brachiocephalic, subclavian, and internal jugular veins within the mediastinum.
Results
Surgical excision required control of both the IJV in the neck and mediastinal venous great vessels via sternotomy, prior to subtotal thyroidectomy and venotomy for en bloc resection.
Conclusion
This case report describes metastatic RCC to the thyroid gland with cervicothoracic venous tumor thrombosis successfully treated with subtotal thyroidectomy, sternotomy for venotomy and tumor thrombectomy, and preservation of IJV conduit.</abstract><cop>Hoboken, USA</cop><pub>John Wiley & Sons, Inc</pub><pmid>37141398</pmid><doi>10.1002/hed.27391</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0002-5531-0511</orcidid></addata></record> |
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| subjects | Jugular vein Kidney cancer Malignancy Mediastinum Metastases Renal cell carcinoma surgical oncology Thrombosis Thyroid Thyroid carcinoma Thyroidectomy tumor thrombus Tumors venotomy |
| title | Metastatic renal cell carcinoma to the thyroid with cervicothoracic venous tumor thrombosis |
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