Rickes S, Wermke W
Medizinische Klinik mit Schwerpunkt Gastroenterologie, Hepatologie und Endokrinologie des Universitätsklinikums Charité (Campus Mitte) der Humboldt-Universität zu Berlin.
Ultraschall Med. 2004 Apr;25(2):144-6. doi: 10.1055/s-2004-813105.
Thrombosis can lead to physical impairment and cost-intensive investigations. In some cases, a thrombosis is caused by infiltration of an adjacent tumour. It is therefore important to differentiate between a benign or malignant thrombosis. We report the case of a woman with a malignant thrombosis of the jugular vein. She was hospitalised for suspected malignant disease of unknown origin. Her family doctor had made the diagnosis of a "partially organised thrombosis". At sonography, vessels with an arterial blood flow were detected in the thrombus. A carcinoma of the thyroid gland was therefore suspected and confirmed by histology. This case report demonstrates that the differentiation between a benign and malignant thrombosis is possible with colour-Doppler sonography.
血栓形成可导致身体功能障碍和成本高昂的检查。在某些情况下，血栓形成是由相邻肿瘤浸润引起的。因此，区分良性或恶性血栓形成很重要。我们报告一例患有颈静脉恶性血栓形成的女性病例。她因疑似不明来源的恶性疾病住院。她的家庭医生诊断为“部分机化血栓形成”。超声检查发现血栓内有动脉血流的血管。因此怀疑为甲状腺癌，并经组织学证实。本病例报告表明，彩色多普勒超声检查可以区分良性和恶性血栓形成。
