Bleeding Lymph Node Mass in a Postoperative Case of Thyroid Carcinoma: Transarterial Embolization to the Rescue

Recurrent metastatic cervical lymph nodes are common in patients with thyroid cancer, even after standard treatments such as total thyroidectomy and lymph node dissection. However, skin ulceration accompanied by bleeding from these metastatic lymph nodes is extremely rare and is usually managed through surgical ligation. In certain cases, surgical ligation is nearly impossible due to limited access to the bleeding vessels caused by vascular involvement. Our patient is a 42-year-old male diagnosed with thyroid carcinoma two years ago who has received all standard treatment options. Subsequently, he developed a recurrent nodal mass in the neck region that was bleeding profusely and was successfully managed through transarterial embolization. Transarterial embolization is a minimally invasive and safe technique that can be utilized in challenging scenarios where surgical access to the bleeding vessels is limited due to vascular involvement.