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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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