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Massive internal jugular vein tumor thrombus derived from squamous cell carcinoma of the head and neck: two case reports

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Abstract

Purpose

Tumor thrombosis of the internal jugular vein (IJV) is an extremely rare disease, and the reported cases have been exclusively associated with differentiated thyroid cancer. In the present study, we describe two cases of IJV tumor thrombosis originated from squamous cell carcinoma (SCC), which is the first case report.

Methods

Case 1 was a 67-year-old man diagnosed with advanced supraglottic SCC with a massive tumor thrombus in the IJV. He was treated with bio-radiotherapy followed by radical surgery. Case 2 was a 65-year-old woman who underwent radical surgery for SCC of thyroid with tumor thrombosis in the IJV.

Results

These cases rapidly developed local recurrences and distant metastases and died within 10 months after surgery.

Conclusions

IJV tumor thrombosis originated from SCC apparently reflects extremely aggressive state of the tumor. Recognition and precaution to this condition is essential for the development of a clinically effective treatment strategy.

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Authors and Affiliations

  1. Department of Head and Neck Surgery, National Kyushu Cancer Center, 3-1-1 Notame, Minamiku, Fukuoka, 811-1395, Japan

    Takahiro Wakasaki, Hideyuki Kiyohara, Hirofumi Omori, Kensuke Nishi, Fumihide Rikimaru, Satoshi Toh, Yuichiro Higaki & Muneyuki Masuda

  2. Department of Pathology, National Kyushu Cancer Center, Minamiku, Fukuoka, Japan

    Kenichi Taguchi

Authors
  1. Takahiro Wakasaki
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  2. Hideyuki Kiyohara
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  3. Hirofumi Omori
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  4. Kensuke Nishi
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  5. Kenichi Taguchi
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  6. Fumihide Rikimaru
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  7. Satoshi Toh
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  8. Yuichiro Higaki
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  9. Muneyuki Masuda
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Corresponding author

Correspondence to Takahiro Wakasaki.

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Grant support

This study was supported in part by funds from Grant-in-Aid for Young Scientists (B) 25861567 and Grant-in-Aid for Scientific Research (C) 16K11256 to Takahiro Wakasaki.

Ethics approval and consent to participate

Written informed consent was obtained from both patients for the publication of this case report and accompanying images.

Competing interests

The authors declare that they have no competing interests.

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Wakasaki, T., Kiyohara, H., Omori, H. et al. Massive internal jugular vein tumor thrombus derived from squamous cell carcinoma of the head and neck: two case reports. Oral Maxillofac Surg 21, 69–74 (2017). https://doi.org/10.1007/s10006-016-0600-3

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  • DOI: https://doi.org/10.1007/s10006-016-0600-3

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