Hurthle细胞癌合并颈内静脉包裹及无名静脉侵犯的血管处理

IF 0.7 Q4 SURGERY

Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2025-05-29 DOI:10.1016/j.jvscit.2025.101863

Samantha Fountain MMedSci , Sally Tan MD , Helen Liu DO , Scott Schubach MD , John Allendorf MD , Alec Vaezi MD , Reese Wain MD

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引用次数: 0

摘要

我们报告一个病例强调无名氏静脉重建切除复杂血管浸润的Hurthle细胞癌。69岁男性，颈部肿块迅速增大，伴有吞咽困难和发音困难。检查显示一个11.2 × 7.0 × 6.5 cm的Hurthle细胞癌侵犯口咽部和上纵隔。我们进行了左侧甲状腺叶切除术和改良的左侧根治性颈部清扫术。胸骨正中切开术，切除左锁骨头，部分切除左柄，以周向暴露无名静脉。肿瘤血栓从无名静脉中挤出，然后进行贴片血管成形术，术后14个月保持通畅。

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Vascular management of Hurthle cell carcinoma with internal jugular vein encasement and innominate vein invasion

We present a case highlighting innominate vein reconstruction for resection of Hurthle cell carcinoma with complex vascular invasion. A 69-year-old man presented with a rapidly enlarging neck mass, dysphagia and dysphonia. Workup demonstrated a 11.2 × 7.0 × 6.5 cm Hurthle cell carcinoma invading the oropharynx and superior mediastinum. We proceeded with left thyroid lobectomy and modified left radical neck dissection. Median sternotomy, resection of the left clavicular head, and partial resection of the left manubrium were performed to circumferentially expose the innominate vein. Tumor thrombus was extruded from the innominate vein followed by patch angioplasty, which remains patent 14 months postoperatively.

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来源期刊

Journal of Vascular Surgery Cases Innovations and Techniques SURGERY-

CiteScore

1.00

自引率

14.30%

发文量

219

审稿时长

29 weeks

期刊介绍： Journal of Vascular Surgery Cases and Innovative Techniques is a surgical journal dedicated to publishing peer review high quality case reports, vascular images and innovative techniques related to all aspects of arterial, venous, and lymphatic diseases and disorders, including vascular trauma, malformations, wound care and the placement and maintenance of arterio-venous dialysis accesses with an emphasis on the practicing clinician. The Journal seeks to provide novel and timely information to vascular surgeons, interventionalists, phlebologists, wound care specialists, and allied health professionals involved with the management of patients with the entire spectrum of vascular disorders.