Intraatrial extension of thyroid cancer: A case report

Seiichiro Sugimoto, Hiroyoshi Doihara, Yutaka Ogasawara, Motoi Aoe, Shunji Sano, Nobuyoshi Shimizu

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23 Citations (Scopus)


A 61-year-old man, who was diagnosed with superior vena cava syndrome by papillary thyroid carcinoma, was referred to our hospital. A bulky thyroid tumor with tracheal invasion extended from the left neck to the right atrium without distant metastases. The risk of sudden death due to airway occlusion, tumor embolism or obstruction of the tricuspid valve led us to elect surgery. Extended resection of thyroid cancer was performed with cardiopulmonary bypass. Peritoneal dissemination was found via laparotomy. A histological diagnosis of anaplastic carcinoma arising from transformation of papillary carcinoma was made. After the operation, bilateral ureteral occlusion by peritoneal dissemination and multiple lung metastases were detected. The patient died with acute renal failure on postoperative day 12. Intraatrial extension of thyroid cancer is rare, and only 12 cases have been reported in the literature. We present a case of thyroid cancer with intraatrial extension. Copyright

Original languageEnglish
Pages (from-to)135-140
Number of pages6
JournalActa medica Okayama
Issue number2
Publication statusPublished - Apr 2006


  • Cardiopulmonary bypass
  • Superior vena cava syndrome
  • Thyroid cancer

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)


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