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Retrosternal Metastatic Papillary Thyroid Cancer Causing Superior Vena Cava Syndrome: A Very Rare Presentation.

Retrosternal Metastatic Papillary Thyroid Cancer Causing Superior Vena Cava Syndrome: A Very Rare Presentation.
Author Information (click to view)

Shirah BH, Shirah HA, Al Hassan AK, Elnour AE,


Shirah BH, Shirah HA, Al Hassan AK, Elnour AE, (click to view)

Shirah BH, Shirah HA, Al Hassan AK, Elnour AE,

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Annals of vascular surgery 2017 09 0746() 368.e9-368.e12 pii 10.1016/j.avsg.2017.08.025

Abstract

Thyroid cancer causing superior vena cava (SVC) syndrome is a very rare clinical entity with only 26 cases reported worldwide. Metastatic thyroid cancer causing SVC syndrome several years following resection of the primary tumor is extremely rare with only 2 cases reported; one of them was of the papillary variety. We report the second case worldwide of metastatic papillary thyroid cancer causing SVC syndrome 2 years after total thyroidectomy of the original tumor in a 62-year-old Indian female pilgrim. Unfortunately, the patient died on the third day of intensive care unit admission. The severity of the clinical condition in addition to the late presentation resulted in a catastrophic outcome, which made all the possible resuscitative efforts very difficult.

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