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CC BY-NC-ND 4.0 · World J Nucl Med 2019; 18(03): 301-303
DOI: 10.4103/wjnm.WJNM_43_18
Case Report

A rare case of minimally invasive follicular thyroid cancer with intraluminal superior vena cava and right atrium metastases

Alex Cheen Hoe Khoo
Department of Nuclear Medicine, Penang Hospital, Malaysia
,
Soo Ling Chen
Department of Nuclear Medicine, Penang Hospital, Malaysia
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Abstract

Follicular thyroid cancers are known to spread hematogenously to the bones and lungs and rarely presenting with massive angioinvasion. We report a case of a middle-aged female who had undergone total thyroidectomy for minimally invasive follicular thyroid cancer with angioinvasion in 2014. She was noted to have a large tumor thrombus extending from the superior vena cava to the right atrium on whole body scan post-Iodine-131 (131I) remnant ablation therapy. We discuss the various imaging modalities, treatment options, and difficulties in managing such massive angioinvasion in patients with well-differentiated thyroid cancers.

Keywords

Intracardiac - metastases - radioiodine-131 - thyroid cancer

Financial support and sponsorship

Nil.




Publication History

Received: 30 April 2018

Accepted: 30 May 2018

Article published online:
22 April 2022

© 2019. Sociedade Brasileira de Neurocirurgia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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