Hostname: page-component-848d4c4894-xfwgj Total loading time: 0 Render date: 2024-07-07T05:45:10.154Z Has data issue: false hasContentIssue false
  • English
  • Français

Pre-operative embolisation of the thyroid artery in a patient with a large papillary carcinoma of the thyroid

Published online by Cambridge University Press:  29 June 2012

H Shojaku ,
H Takakura ,
Y Watanabe  and
H Seto
H Shojaku*
Affiliation:
Department of Otolaryngology, University of Toyama, Japan
H Takakura
Affiliation:
Department of Otolaryngology, University of Toyama, Japan
Y Watanabe
Affiliation:
Department of Otolaryngology, University of Toyama, Japan
H Seto
Affiliation:
Department of Radiology, University of Toyama, Japan
*
Address for correspondence: Dr Hideo Shojaku, Department of Otolaryngology, University of Toyama, 2630 Sugitani, Toyama 930-0194, Japan Fax: +81 764 345038 E-mail: hshojaku@med.u-toyama.ac.jp
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

To demonstrate the usefulness of pre-operative selective embolisation of the thyroid arteries in an unusual case with a large, vascular thyroid tumour.

Case report:

A 29-year-old man presented with a large papillary carcinoma of the thyroid (weighing approximately 300 g on palpation) with extension to the mediastinum and compression of the trachea. A computed tomography scan of the neck and thorax revealed a large tumour the solid part of which was enhanced after contrast medium application, indicating a substantial vascular supply. Pre-operative selective embolisation of both superior thyroid arteries and one inferior thyroid artery, using gelatin sponge particles, was performed 4 days before surgery, under conventional angiography. After selective embolisation of these thyroid arteries, the patient experienced mild anterior neck pain and mild fever. This procedure allowed a significant reduction in blood perfusion to the tumour, which facilitated its surgical removal without blood transfusion.

Conclusion:

Pre-operative selective embolisation of both superior thyroid arteries and one inferior thyroid artery may be an effective, minimally invasive procedure for patients with a large, vascular thyroid tumour.

Keywords

Thyroid GlandPapillary AdenocarcinomaEmbolization, TherapeuticGelatin
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 9 , September 2012 , pp. 955 - 959
Copyright
Copyright © JLO (1984) Limited 2012

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1American Society of Interventional and Therapeutic Neuroradiology. Head, neck, and brain tumor embolization. AJNR Am J Neuroradiol 2001;22(suppl 8):S14–15Google Scholar
2Ramos, HE, Braga-Basaria, M, Haquin, C, Mesa, CO, de Noronha, L, Sandrini, R et al. Preoperative embolization of thyroid arteries in a patient with large multinodular goiter and papillary carcinoma. Thyroid 2004;14:967–70CrossRefGoogle Scholar
3Dedecjus, M, Tazbir, J, Kaurzel, Z, Lewinski, A, Strozyk, G, Brzezinski, J. Selective embolization of thyroid arteries as a preresective and palliative treatment of thyroid cancer. Endocr Relat Cancer 2007;14:847–52CrossRefGoogle ScholarPubMed
4Xiao, H, Zhuang, W, Wang, S, Yu, B, Chen, G, Zhou, M et al. Arterial embolization: a novel approach to thyroid ablative therapy for Graves' disease. J Clin Endocrinol Metab 2002;87:3583–9Google ScholarPubMed
5Tartaglia, F, Salvatori, FM, Pichelli, D, Sgueglia, M, Blasi, S, Custureri, F. Preoperative embolization of thyroid arteries in a patient with a large cervicomediastinal hyperfunctioning goiter. Thyroid 2007;17:787–92CrossRefGoogle Scholar
6Miller, FR. Surgical anatomy of the thyroid and parathyroid glands. Otolaryngol Clin N Am 2003;36:1–7CrossRefGoogle ScholarPubMed
7Nobori, M, Saiki, S, Tanaka, N, Harihara, Y, Shindo, S, Fujimoto, Y. Blood supply of the parathyroid gland from the superior thyroid artery. Surgery 1994;115:417–23Google ScholarPubMed
8Zhao, W, Gao, BL, Yang, HY, Li, H, Dong, DP, Xiang, ST et al. Thyroid artery embolization to treat Graves' disease. Acta Radiol 2007;48:186–192CrossRefGoogle ScholarPubMed
9Beers, GJ, Svendsen, P, Carter, AP, Bell, R. Embolization of medullary carcinoma of the thyroid invading the trachea. Report of a case. Acta Radiol Diagn 1985;26:21–3CrossRefGoogle ScholarPubMed