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Internal Jugular Vein Thrombosis After Microwave Ablation of Cervical Lymph Node Metastasis in Papillary Thyroid Microcarcinoma: A Case Report

In this study, two patients with papillary thyroid carcinoma and lymph node metastasis were treated by Dr. Shurong Wang’s team and are reported. The two patients refused surgery and underwent microwave ablation (MWA) of the thyroid and lymph node lesions. Ultrasound review 2 days after MWA revealed...

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Autores principales: Liu, Ying, Wang, Xi-Ju, Wang, Jin-Ling, Liu, Li-Hong, Zhao, Shuo-Ran, Yu, Shou-Jun, Yang, Bei-Bei, Xu, Qing-Ling, Li, Jin-Ke, Wang, Shu-Rong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9092279/
https://www.ncbi.nlm.nih.gov/pubmed/35574012
http://dx.doi.org/10.3389/fendo.2022.792715
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author Liu, Ying
Wang, Xi-Ju
Wang, Jin-Ling
Liu, Li-Hong
Zhao, Shuo-Ran
Yu, Shou-Jun
Yang, Bei-Bei
Xu, Qing-Ling
Li, Jin-Ke
Wang, Shu-Rong
author_facet Liu, Ying
Wang, Xi-Ju
Wang, Jin-Ling
Liu, Li-Hong
Zhao, Shuo-Ran
Yu, Shou-Jun
Yang, Bei-Bei
Xu, Qing-Ling
Li, Jin-Ke
Wang, Shu-Rong
author_sort Liu, Ying
collection PubMed
description In this study, two patients with papillary thyroid carcinoma and lymph node metastasis were treated by Dr. Shurong Wang’s team and are reported. The two patients refused surgery and underwent microwave ablation (MWA) of the thyroid and lymph node lesions. Ultrasound review 2 days after MWA revealed internal jugular vein thrombosis. Patient #1 received low molecular weight heparin calcium injection, Xueshuantong injection, Xiangdan injection, and rivaroxaban. Patient #2 was treated with enoxaparin sodium injection, Xueshuantong injection, urokinase, and warfarin sodium tablet. The thrombus was successfully managed in each patient using anticoagulant treatment. Such complication of MWA has not been reported in many cases before. According to the relevant literature, thrombosis after thyroid cancer ablation might be related to subclinical hypothyroidism, increased heme oxidase 1 (HO-1) levels in the blood of patients with papillary thyroid cancer, and increased platelet content and mean platelet volume in patients with thyroid cancer. No specific cause of thrombosis was identified in the two cases reported here. No recurrence was observed after 1 (patient #1) and 4 (#2) years of follow-up. In conclusion, patients with papillary thyroid carcinoma and lymph node metastasis should undergo color Doppler ultrasound of the neck after MWA of thyroid lesions and neck metastasis.
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spelling pubmed-90922792022-05-12 Internal Jugular Vein Thrombosis After Microwave Ablation of Cervical Lymph Node Metastasis in Papillary Thyroid Microcarcinoma: A Case Report Liu, Ying Wang, Xi-Ju Wang, Jin-Ling Liu, Li-Hong Zhao, Shuo-Ran Yu, Shou-Jun Yang, Bei-Bei Xu, Qing-Ling Li, Jin-Ke Wang, Shu-Rong Front Endocrinol (Lausanne) Endocrinology In this study, two patients with papillary thyroid carcinoma and lymph node metastasis were treated by Dr. Shurong Wang’s team and are reported. The two patients refused surgery and underwent microwave ablation (MWA) of the thyroid and lymph node lesions. Ultrasound review 2 days after MWA revealed internal jugular vein thrombosis. Patient #1 received low molecular weight heparin calcium injection, Xueshuantong injection, Xiangdan injection, and rivaroxaban. Patient #2 was treated with enoxaparin sodium injection, Xueshuantong injection, urokinase, and warfarin sodium tablet. The thrombus was successfully managed in each patient using anticoagulant treatment. Such complication of MWA has not been reported in many cases before. According to the relevant literature, thrombosis after thyroid cancer ablation might be related to subclinical hypothyroidism, increased heme oxidase 1 (HO-1) levels in the blood of patients with papillary thyroid cancer, and increased platelet content and mean platelet volume in patients with thyroid cancer. No specific cause of thrombosis was identified in the two cases reported here. No recurrence was observed after 1 (patient #1) and 4 (#2) years of follow-up. In conclusion, patients with papillary thyroid carcinoma and lymph node metastasis should undergo color Doppler ultrasound of the neck after MWA of thyroid lesions and neck metastasis. Frontiers Media S.A. 2022-04-27 /pmc/articles/PMC9092279/ /pubmed/35574012 http://dx.doi.org/10.3389/fendo.2022.792715 Text en Copyright © 2022 Liu, Wang, Wang, Liu, Zhao, Yu, Yang, Xu, Li and Wang https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Endocrinology
Liu, Ying
Wang, Xi-Ju
Wang, Jin-Ling
Liu, Li-Hong
Zhao, Shuo-Ran
Yu, Shou-Jun
Yang, Bei-Bei
Xu, Qing-Ling
Li, Jin-Ke
Wang, Shu-Rong
Internal Jugular Vein Thrombosis After Microwave Ablation of Cervical Lymph Node Metastasis in Papillary Thyroid Microcarcinoma: A Case Report
title Internal Jugular Vein Thrombosis After Microwave Ablation of Cervical Lymph Node Metastasis in Papillary Thyroid Microcarcinoma: A Case Report
title_full Internal Jugular Vein Thrombosis After Microwave Ablation of Cervical Lymph Node Metastasis in Papillary Thyroid Microcarcinoma: A Case Report
title_fullStr Internal Jugular Vein Thrombosis After Microwave Ablation of Cervical Lymph Node Metastasis in Papillary Thyroid Microcarcinoma: A Case Report
title_full_unstemmed Internal Jugular Vein Thrombosis After Microwave Ablation of Cervical Lymph Node Metastasis in Papillary Thyroid Microcarcinoma: A Case Report
title_short Internal Jugular Vein Thrombosis After Microwave Ablation of Cervical Lymph Node Metastasis in Papillary Thyroid Microcarcinoma: A Case Report
title_sort internal jugular vein thrombosis after microwave ablation of cervical lymph node metastasis in papillary thyroid microcarcinoma: a case report
topic Endocrinology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9092279/
https://www.ncbi.nlm.nih.gov/pubmed/35574012
http://dx.doi.org/10.3389/fendo.2022.792715
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