Occlusion of the Internal Jugular Vein in Differentiated Thyroid Carcinoma: Causes and Diagnosis

Dana M Hartl; Mark E. Zafereo; Luiz P Kowalski; Gregory W.  Randolph; Kerry D. Olsen; Verónica Fernández-Álvarez; Iain Nixon; Ashok R Shaha; Peter Angelos; Jatin P. Shah; Alfio Ferlito

doi:10.1016/j.ejso.2021.02.021

Occlusion of the Internal Jugular Vein in Differentiated Thyroid Carcinoma: Causes and Diagnosis

Dana M Hartl, Mark E. Zafereo, Luiz P Kowalski, Gregory W. Randolph, Kerry D. Olsen, Verónica Fernández-Álvarez, Iain Nixon, Ashok R Shaha, Peter Angelos, Jatin P. Shah, Alfio Ferlito

Deanery of Clinical Sciences

Research output: Contribution to journal › Article › peer-review

Abstract

Occlusion of the internal jugular vein (IJV) can be observed in thyroid cancer either on preoperative imaging with ultrasound or cross-sectional imaging, particularly contrast-enhanced CT-scan, and can be detected during follow-up when using these same imaging modalities. For thyroid cancer, four different causes of occlusion of the IJV can be identified: venous thrombosis associated with a hypercoagulable state, tumor thrombus in the vein, compression or invasion of the IJV by thyroid disease or lymph node metastases, and fibrotic collapse of the IJV following lateral neck dissection. Clinicians managing patients with thyroid cancer need to be aware of and able to diagnose each of these conditions. The overall patient impact and appropriate management of each will be discussed.

Key Words: internal jugular vein, thrombus, thrombosis, thyroid cancer

Original language	English
Journal	EJSO - European Journal of Surgical Oncology
DOIs	https://doi.org/10.1016/j.ejso.2021.02.021
Publication status	Published - 22 Feb 2021

Access to Document

10.1016/j.ejso.2021.02.021Licence: CC BY

Occlusion of the Internal Jugular Vein-Revised manuscriptAccepted author manuscript, 1.26 MBLicence: CC BY

Cite this

@article{1190caaec84546ad9b8f0f531b63f722,

title = "Occlusion of the Internal Jugular Vein in Differentiated Thyroid Carcinoma: Causes and Diagnosis",

abstract = "Occlusion of the internal jugular vein (IJV) can be observed in thyroid cancer either on preoperative imaging with ultrasound or cross-sectional imaging, particularly contrast-enhanced CT-scan, and can be detected during follow-up when using these same imaging modalities. For thyroid cancer, four different causes of occlusion of the IJV can be identified: venous thrombosis associated with a hypercoagulable state, tumor thrombus in the vein, compression or invasion of the IJV by thyroid disease or lymph node metastases, and fibrotic collapse of the IJV following lateral neck dissection. Clinicians managing patients with thyroid cancer need to be aware of and able to diagnose each of these conditions. The overall patient impact and appropriate management of each will be discussed.Key Words: internal jugular vein, thrombus, thrombosis, thyroid cancer",

author = "Hartl, {Dana M} and Zafereo, {Mark E.} and Kowalski, {Luiz P} and Randolph, {Gregory W.} and Olsen, {Kerry D.} and Ver{\'o}nica Fern{\'a}ndez-{\'A}lvarez and Iain Nixon and Shaha, {Ashok R} and Peter Angelos and Shah, {Jatin P.} and Alfio Ferlito",

year = "2021",

month = feb,

day = "22",

doi = "10.1016/j.ejso.2021.02.021",

language = "English",

journal = "EJSO - European Journal of Surgical Oncology",

issn = "0748-7983",

publisher = "Elsevier",

}

Occlusion of the Internal Jugular Vein in Differentiated Thyroid Carcinoma: Causes and Diagnosis. / Hartl, Dana M; Zafereo, Mark E.; Kowalski, Luiz P; Randolph, Gregory W. ; Olsen, Kerry D.; Fernández-Álvarez, Verónica; Nixon, Iain; Shaha, Ashok R; Angelos, Peter; Shah, Jatin P.; Ferlito, Alfio.

In: EJSO - European Journal of Surgical Oncology, 22.02.2021.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

T1 - Occlusion of the Internal Jugular Vein in Differentiated Thyroid Carcinoma: Causes and Diagnosis

AU - Hartl, Dana M

AU - Zafereo, Mark E.

AU - Kowalski, Luiz P

AU - Randolph, Gregory W.

AU - Olsen, Kerry D.

AU - Fernández-Álvarez, Verónica

AU - Nixon, Iain

AU - Shaha, Ashok R

AU - Angelos, Peter

AU - Shah, Jatin P.

AU - Ferlito, Alfio

PY - 2021/2/22

Y1 - 2021/2/22

N2 - Occlusion of the internal jugular vein (IJV) can be observed in thyroid cancer either on preoperative imaging with ultrasound or cross-sectional imaging, particularly contrast-enhanced CT-scan, and can be detected during follow-up when using these same imaging modalities. For thyroid cancer, four different causes of occlusion of the IJV can be identified: venous thrombosis associated with a hypercoagulable state, tumor thrombus in the vein, compression or invasion of the IJV by thyroid disease or lymph node metastases, and fibrotic collapse of the IJV following lateral neck dissection. Clinicians managing patients with thyroid cancer need to be aware of and able to diagnose each of these conditions. The overall patient impact and appropriate management of each will be discussed.Key Words: internal jugular vein, thrombus, thrombosis, thyroid cancer

AB - Occlusion of the internal jugular vein (IJV) can be observed in thyroid cancer either on preoperative imaging with ultrasound or cross-sectional imaging, particularly contrast-enhanced CT-scan, and can be detected during follow-up when using these same imaging modalities. For thyroid cancer, four different causes of occlusion of the IJV can be identified: venous thrombosis associated with a hypercoagulable state, tumor thrombus in the vein, compression or invasion of the IJV by thyroid disease or lymph node metastases, and fibrotic collapse of the IJV following lateral neck dissection. Clinicians managing patients with thyroid cancer need to be aware of and able to diagnose each of these conditions. The overall patient impact and appropriate management of each will be discussed.Key Words: internal jugular vein, thrombus, thrombosis, thyroid cancer

U2 - 10.1016/j.ejso.2021.02.021

DO - 10.1016/j.ejso.2021.02.021

M3 - Article

JO - EJSO - European Journal of Surgical Oncology

JF - EJSO - European Journal of Surgical Oncology

SN - 0748-7983

ER -

Occlusion of the Internal Jugular Vein in Differentiated Thyroid Carcinoma: Causes and Diagnosis

Abstract

Access to Document

Fingerprint

Cite this