PDF(Pubmed)
Abstract：
Internal jugular vein (IJV) thrombosis is a rare finding and is usually associated with central venous catheterization, neck infections, or local trauma. Neuroendocrine tumors (NETs) rarely predispose to central vein thrombosis. The usual presentation of pulmonary NET depends on tumor location and is usually non-specific. It ranges from asymptomatic to cough, hemoptysis, dyspnea, etc. Here we present the case of a 52-year-old male with right-sided neck swelling. Ultrasound imaging of the neck revealed right IJV and right subclavian vein thrombosis. Further imaging with computed tomography (CT) scan of the chest showed mediastinal mass. Histopathology findings were consistent with NET of pulmonary origin. Patient was started immediately on anti-coagulation and radiology oncology was consulted for tumor-specific treatment. This case highlights an association of central vein thrombosis with underlying mediastinal and lung malignancies.
摘要：
颈内静脉（IJV）血栓形成是一种罕见的发现，通常与中心静脉导管插入术有关。颈部感染,或者局部创伤.神经内分泌肿瘤（NETs）很少易患中央静脉血栓形成。肺NET的通常表现取决于肿瘤位置并且通常是非特异性的。从无症状到咳嗽不等,咯血,呼吸困难,等。在这里，我们介绍了一名52岁男性右侧颈部肿胀的情况。颈部超声成像显示右侧IJV和右侧锁骨下静脉血栓形成。胸部计算机断层扫描（CT）扫描进一步成像显示纵隔肿块。组织病理学结果与肺起源的NET一致。患者立即开始抗凝治疗，并咨询放射学肿瘤学以进行肿瘤特异性治疗。该病例强调了中央静脉血栓形成与潜在的纵隔和肺部恶性肿瘤的关联。
