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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: [email protected]
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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

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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