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CASE REPORT
Year : 2021  |  Volume : 64  |  Issue : 1  |  Page : 149-151

Concomittant occurence of well-differentiated thyroid carcinoma metastasis and chronic lymphocytic leukemia in the same lymph node along with internal jugular vein thrombus: a case report

Havva Sezer1, Dilek Yazıcı1, Serdar Tezelman2, Mehmet O Demirkol3, Ömer F Ünal4, Şükrü Dilege5, Orhun Ç Taşkın6, Önder Peker7, Yersu Kapran6, Bülent Çolakoğlu8, Murat S Aygün9, Burhan Ferhanoğlu10, Faruk Alagöl1
1 Department of Medicine, Division of Endocrinology, Koc University School of Medicine, Istanbul, Turkey
2 Department of Medicine, Division of General Surgery, American Hospital, Istanbul, Turkey
3 Department of Medicine, Division of Nuclear Medicine, Koç University School of Medicine, Istanbul, Turkey
4 Department of Medicine, Division of Otorhinolaryngology, Koc University School of Medicine, Istanbul, Turkey
5 Department of Medicine, Division of Thoracic Surgery, Koc University School of Medicine, Istanbul, Turkey
6 Department of Division of Pathology, Koc University School of Medicine, Istanbul, Turkey
7 Department of Medicine, Division of Pathology, American Hospital, Istanbul, Turkey
8 Department of Medicine, Division of Radyology, American Hospital, Istanbul, Turkey
9 Department of Medicine, Division of Radyology, Koc University School of Medicine, Istanbul, Turkey
10 Department of Medicine, Division of Hematology, American Hospital, Istanbul, Turkey

Correspondence Address:
Havva Sezer
Department of Medicine, Division of Endocrinology, Koc University School of Medicine, Istanbul
Turkey
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/IJPM.IJPM_537_20

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Chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL) is the most common adult leukemia. The coexistence of CLL and papillary thyroid carcinoma (PTC) is extremely rare. PTC sometimes shows microscopic vascular invasion but rarely cause a tumor thrombus in the internal jugular vein (IJV). It is also rare to find both differentiated and poorly differentiated types of thyroid cancer in the same metastatic location. We report a case of 63-year-old Turkish man with history of CLL who had CLL/SLL involvement and PTC metastasis in the same lymph node. Additionally, there was macroscopic metastasis to the IJV with poorly differentiated areas in the removed tumor thrombus. Patient was treated with total thyroidectomy, left radical neck dissection, resection of the left IJV segment that contained the tumor thrombus and radioactive iodine (RAI) therapy. Furthermore, metastatic lesions were found in the brain, lung and bone. Radiotherapy and chemotherapy were performed. However, our patient died approximately 12 months after thyroidectomy. To our knowledge, our present report is the first description with its current features.


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