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Cerebral tumor embolism from thyroid cancer treated by mechanical thrombectomy: illustrative case

BACKGROUND: Development in mechanical thrombectomy is progressing dramatically. Tumor embolism has been rarely reported on the basis of pathological study of the retrieved thrombus. Herein, the authors report a case of cerebral tumor embolism from advanced thyroid cancer, which was successfully trea...

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Autores principales: Fujiwara, Yuta, Hayashi, Kentaro, Shibata, Yohei, Furuta, Tatsuya, Yamasaki, Tomohiro, Yamamoto, Kazuhiro, Uchimura, Masahiro, Nakagawa, Fumio, Kambara, Mizuki, Nagai, Hidemasa, Akiyama, Yasuhiko
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American Association of Neurological Surgeons 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10550714/
https://www.ncbi.nlm.nih.gov/pubmed/36718865
http://dx.doi.org/10.3171/CASE22293
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author Fujiwara, Yuta
Hayashi, Kentaro
Shibata, Yohei
Furuta, Tatsuya
Yamasaki, Tomohiro
Yamamoto, Kazuhiro
Uchimura, Masahiro
Nakagawa, Fumio
Kambara, Mizuki
Nagai, Hidemasa
Akiyama, Yasuhiko
author_facet Fujiwara, Yuta
Hayashi, Kentaro
Shibata, Yohei
Furuta, Tatsuya
Yamasaki, Tomohiro
Yamamoto, Kazuhiro
Uchimura, Masahiro
Nakagawa, Fumio
Kambara, Mizuki
Nagai, Hidemasa
Akiyama, Yasuhiko
author_sort Fujiwara, Yuta
collection PubMed
description BACKGROUND: Development in mechanical thrombectomy is progressing dramatically. Tumor embolism has been rarely reported on the basis of pathological study of the retrieved thrombus. Herein, the authors report a case of cerebral tumor embolism from advanced thyroid cancer, which was successfully treated with mechanical thrombectomy. OBSERVATIONS: A 57-year-old man was diagnosed with thyroid cancer with multiple lung metastases and chemotherapy was planned. He experienced left hemiparesis and was bought to the emergency section of the authors’ hospital. Magnetic resonance angiography revealed right internal carotid artery occlusion and endovascular treatment was performed. Using a combination of aspiration catheter and stent retriever, white jelly-like embolus was retrieved. The pathological study demonstrated thyroid cancer embolism. Pulmonary vein invasion following lung metastasis of thyroid cancer was most presumably the cause of the tumor embolism. LESSONS: Lung metastasis invading the pulmonary vein may be a cause of tumor embolism. Mechanical thrombectomy using a combination of stent retriever and aspiration catheter is effective in removing the tumor embolus and the pathological examination of the embolus is essential.
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spelling pubmed-105507142023-10-06 Cerebral tumor embolism from thyroid cancer treated by mechanical thrombectomy: illustrative case Fujiwara, Yuta Hayashi, Kentaro Shibata, Yohei Furuta, Tatsuya Yamasaki, Tomohiro Yamamoto, Kazuhiro Uchimura, Masahiro Nakagawa, Fumio Kambara, Mizuki Nagai, Hidemasa Akiyama, Yasuhiko J Neurosurg Case Lessons Case Lesson BACKGROUND: Development in mechanical thrombectomy is progressing dramatically. Tumor embolism has been rarely reported on the basis of pathological study of the retrieved thrombus. Herein, the authors report a case of cerebral tumor embolism from advanced thyroid cancer, which was successfully treated with mechanical thrombectomy. OBSERVATIONS: A 57-year-old man was diagnosed with thyroid cancer with multiple lung metastases and chemotherapy was planned. He experienced left hemiparesis and was bought to the emergency section of the authors’ hospital. Magnetic resonance angiography revealed right internal carotid artery occlusion and endovascular treatment was performed. Using a combination of aspiration catheter and stent retriever, white jelly-like embolus was retrieved. The pathological study demonstrated thyroid cancer embolism. Pulmonary vein invasion following lung metastasis of thyroid cancer was most presumably the cause of the tumor embolism. LESSONS: Lung metastasis invading the pulmonary vein may be a cause of tumor embolism. Mechanical thrombectomy using a combination of stent retriever and aspiration catheter is effective in removing the tumor embolus and the pathological examination of the embolus is essential. American Association of Neurological Surgeons 2023-01-30 /pmc/articles/PMC10550714/ /pubmed/36718865 http://dx.doi.org/10.3171/CASE22293 Text en © 2023 The authors https://creativecommons.org/licenses/by-nc-nd/4.0/CC BY-NC-ND 4.0 (http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) ).
spellingShingle Case Lesson
Fujiwara, Yuta
Hayashi, Kentaro
Shibata, Yohei
Furuta, Tatsuya
Yamasaki, Tomohiro
Yamamoto, Kazuhiro
Uchimura, Masahiro
Nakagawa, Fumio
Kambara, Mizuki
Nagai, Hidemasa
Akiyama, Yasuhiko
Cerebral tumor embolism from thyroid cancer treated by mechanical thrombectomy: illustrative case
title Cerebral tumor embolism from thyroid cancer treated by mechanical thrombectomy: illustrative case
title_full Cerebral tumor embolism from thyroid cancer treated by mechanical thrombectomy: illustrative case
title_fullStr Cerebral tumor embolism from thyroid cancer treated by mechanical thrombectomy: illustrative case
title_full_unstemmed Cerebral tumor embolism from thyroid cancer treated by mechanical thrombectomy: illustrative case
title_short Cerebral tumor embolism from thyroid cancer treated by mechanical thrombectomy: illustrative case
title_sort cerebral tumor embolism from thyroid cancer treated by mechanical thrombectomy: illustrative case
topic Case Lesson
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10550714/
https://www.ncbi.nlm.nih.gov/pubmed/36718865
http://dx.doi.org/10.3171/CASE22293
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