Excision of thyroglossal duct cyst: The Sistrunk procedure

Thyroglossal duct cyst (TDC) is a cystic expansion of a remnant of the thyroglossal duct tract. Carcinomas in the TDC are extremely rare and are usually an incidental finding after the Sistrunk procedure. In this report, an unusual case of a 36-year-old woman with concurrent papillary thyroid carcinoma arising in the TDC and on the thyroid gland is presented, followed by a discussion of the controversies surrounding the possible origins of a papillary carcinoma in the TDC, as well as the current management options.

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Thyroglossal duct cyst anterior to the sternum: a novel presentation of a common lesion

BMJ Case Reports ◽

10.1136/bcr-2020-236515 ◽

2020 ◽

Vol 13 (11) ◽

pp. e236515

Author(s):

Jordan Whitney Rawl ◽

Nicholas Armando Rossi ◽

Matthew G Yantis ◽

Wasyl Szeremeta

Keyword(s):

Hyoid Bone ◽

Neck Mass ◽

Thyroglossal Duct Cyst ◽

Tongue Protrusion ◽

Duct Cyst ◽

Thyroglossal Duct ◽

Neck Masses ◽

Close Proximity ◽

Sistrunk Procedure ◽

Thyroglossal Duct Cysts

Thyroglossal duct cysts (TDCs) arise in roughly 7% of the general population and are typically diagnosed in childhood within the first decade of life. Typically, patients present with a painless, midline neck mass in close proximity to the hyoid bone which classically elevates with deglutition and tongue protrusion. We present a case of TDC found anterior to the sternum, a major deviation from the classical understanding of this lesion. The patient was treated successfully with modified Sistrunk procedure. This case underscores the need for clinicians to maintain a wide differential while working up paediatric patients presenting with neck masses. Furthermore, we emphasise that TDC must always be considered in cases of midline paediatric neck masses, even when found in unusual locations such as presented here.

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Sistrunk Procedure on Malignant Thyroglossal Duct Cyst

Case Reports in Oncological Medicine ◽

10.1155/2020/6985746 ◽

2020 ◽

Vol 2020 ◽

pp. 1-5

Author(s):

Diani Kartini ◽

Sonar S. Panigoro ◽

Agnes S. Harahap

Keyword(s):

Rare Event ◽

Needle Aspiration ◽

Neck Mass ◽

Cystic Mass ◽

Thyroglossal Duct Cyst ◽

Duct Cyst ◽

Microscopic Appearance ◽

Thyroglossal Duct ◽

Normal Limits ◽

Sistrunk Procedure

A thyroglossal duct cyst is a lesion that occurs as a result from failure of the thyroglossal duct to obliterate during fetal development. Malignant progression is a rare event that might occur in less than 1% of all cases. Because of its rarity, there are conflicting opinions regarding the management of the case. In the present study, a 46-year-old male presented with a painless neck mass that had increased in size over the last 6 months. There was no difficulty in swallowing and breathing, change in voice, significant weight loss, or any signs of hyperthyroidism. Laboratory workup showed that results were within normal limits. Thyroid gland ultrasonography and cervical contrast CT scan revealed a complex cystic mass that pointed towards a thyroglossal duct cyst. We performed Sistrunk procedure. Postoperative pathology examination revealed microscopic appearance of the thyroglossal duct cyst with a classic follicular variant of papillary thyroid carcinoma. Our latest follow-up showed no signs of tumor recurrence or any complications following surgery on locoregional status. As a fine needle aspiration biopsy cannot ensure a precise result in all of cases, it is essential to perform a solid physical examination and thorough supporting examination in deciding the precise management for the patient.

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Thyroglossal duct cyst excision—The Sistrunk procedure

Operative Techniques in Otolaryngology-Head and Neck Surgery ◽

10.1016/j.otot.2009.09.001 ◽

2009 ◽

Vol 20 (4) ◽

pp. 256-259 ◽

Cited By ~ 3

Author(s):

Hernan Goldsztein ◽

Andleeb Khan ◽

Kevin D. Pereira

Keyword(s):

Thyroglossal Duct Cyst ◽

Duct Cyst ◽

Thyroglossal Duct ◽

Cyst Excision ◽

Sistrunk Procedure

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Thyroglossal duct cyst: myriad presentations

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20192715 ◽

2019 ◽

Vol 5 (4) ◽

pp. 973

Author(s):

S. Meenakshi ◽

M. K. Rajasekar

Keyword(s):

Retrospective Study ◽

Postoperative Period ◽

Revision Surgery ◽

Thyroglossal Duct Cyst ◽

Duct Cyst ◽

Thyroglossal Duct ◽

Normal Thyroid ◽

Delayed Healing ◽

Sistrunk Procedure ◽

Thyroglossal Duct Cysts

Background: Thyroglossal duct cysts are the most common midline neck swellings. They are routinely treated by surgeons with simple excision.Methods: We present a retrospective study of a series of 30 cases operated in our hospital over a period of five years and the challenges faced during investigations, surgery and postoperative period. All patients were clinically diagnosed as thyroglossal duct cysts. The diagnosis confirmed with USG Neck and FNAC of the swelling. CECT NECK was used to delineate the normal thyroid and patients were subjected to Sistrunk procedure under general anesthesia.Results: The outcome of all cases was good with one case being a revision surgery and another case going in for delayed healing due to infection. All patients were healthy with no complaints postoperatively.Conclusions: This study validates the Sistrunk surgery as the best method of excision to avoid recurrences. This article highlights the variant presentations of this cyst in our institution and the challenges we faced in diagnosis, during surgery and later as well.

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Wide anterior neck dissection for management of recurrent thyroglossal duct cysts in adults

The Journal of Laryngology & Otology ◽

10.1017/s0022215116008239 ◽

2016 ◽

Vol 130 (S4) ◽

pp. S41-S44 ◽

Cited By ~ 2

Author(s):

L M O'Neil ◽

D A Gunaratne ◽

A T Cheng ◽

F Riffat

Keyword(s):

Neck Dissection ◽

Thyroglossal Duct Cyst ◽

Anterior Neck ◽

Duct Cyst ◽

Thyroglossal Duct ◽

Sistrunk Procedure ◽

Cyst Recurrence ◽

Thyroglossal Duct Cysts ◽

Dissection Technique

AbstractObjective:Thyroglossal duct cyst recurrence following resection is attributed to anatomical variability and residual thyroglossal ducts. In adults, thyroglossal duct cyst recurrence is extremely rare and a surgical solution is yet to be well explored. This paper describes our approach to the management of recurrent thyroglossal duct cysts and sinuses in adults using a wide anterior neck dissection.Method:A retrospective review was performed to identify adults who underwent a wide anterior neck dissection for recurrent thyroglossal duct cyst management between 1 January 2009 and 1 January 2015.Results:Six males and one female were included in the series (mean age, 26.4 ± 10.9 years). Recurrence occurred at a mean of 18 ± 9.8 months following primary surgical management (3 patients underwent cystectomy and 4 had a Sistrunk procedure). All patients subsequently underwent wide anterior neck dissection; there was no further recurrence over the 12-month average follow-up period.Conclusion:This paper describes a wide anterior neck dissection technique for the management of recurrent thyroglossal duct cysts or sinuses in adults; this approach addresses the variable anatomy of the thyroglossal duct and is associated with minimal morbidity.

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Squamous cell carcinoma arising from a thyroglossal duct cyst: A case report and review of the literature

SAGE Open Medical Case Reports ◽

10.1177/2050313x18767050 ◽

2018 ◽

Vol 6 ◽

pp. 2050313X1876705

Author(s):

Qi Huang ◽

Yi Shen ◽

Allen Y Wang ◽

Shijie Qiu ◽

Qun Li ◽

...

Keyword(s):

Squamous Cell Carcinoma ◽

Radiation Therapy ◽

Cell Carcinoma ◽

Squamous Cell ◽

Case Series ◽

Cervical Lymphadenopathy ◽

Thyroglossal Duct Cyst ◽

Duct Cyst ◽

Thyroglossal Duct ◽

Sistrunk Procedure

Objectives: Squamous cell carcinoma in a thyroglossal duct cyst is exceedingly rare with only 26 reported cases in the literature so far, which only account for 6% of the patients. Methods: We report a unique case of squamous cell carcinoma arising from a thyroglossal duct cyst in a 49-year-old male who was primarily diagnosed as a thyroglossal duct cyst with inflammation. The patient underwent Sistrunk procedure with wide local excision and radiation therapy as well as chemotherapy post-operatively and had no evidence of recurrence or metastasis for 24 months. In addition, we reviewed the relevant literatures. Results: Whether squamous cell carcinoma actually arises from thyroglossal duct cyst is still controversial; however, carcinoma originating from metaplasia of columnar and squamous epithelium in thyroglossal duct cyst has been well accepted. The gold-standard diagnostic method is fine needle aspiration biopsy with ultrasound guidance. Sistrunk procedure alone or with wide excision is likely to be beneficial. Neck dissection is necessary in patients with positive cervical lymphadenopathy. Radiation therapy and chemotherapy have not yet been clearly defined. Conclusion: Squamous cell carcinoma arising from thyroglossal duct cyst is really a rare disease, whose origin, treatments and prognosis still remain uncertain. These are solely based on case reports, case series and expert opinions. Hence, more investigations about squamous cell carcinoma will be conducted in the near future.

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Thyroglossal Duct Cyst Excision (Sistrunk Procedure)

Atlas of Head and Neck Surgery ◽

10.1016/b978-1-4160-3368-4.00012-3 ◽

2011 ◽

pp. 121-127 ◽

Cited By ~ 1

Author(s):

James I. Cohen ◽

Robert H. Maisel ◽

Henry A. Milczuk ◽

Joseph Valentino ◽

Mark K. Wax

Keyword(s):

Thyroglossal Duct Cyst ◽

Duct Cyst ◽

Thyroglossal Duct ◽

Cyst Excision ◽

Sistrunk Procedure

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Excision of Thyroglossal Duct Cyst (Sistrunk Procedure)

CSurgeries ◽

10.17797/2019121201 ◽

2019 ◽

Author(s):

Sarah Maurrasse ◽

John Maddalozzo ◽

Monica Herron ◽

Jesse Arseneau

Keyword(s):

Thyroglossal Duct Cyst ◽

Duct Cyst ◽

Thyroglossal Duct ◽

Sistrunk Procedure

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Papillary Carcinoma Occurrence in a Thyroglossal Duct Cyst with Synchronous Papillary Thyroid Carcinoma without Cervical Lymph Node Metastasis: Two-Cases Report

Case Reports in Surgery ◽

10.1155/2015/872054 ◽

2015 ◽

Vol 2015 ◽

pp. 1-5 ◽

Cited By ~ 1

Author(s):

F. B. Sobri ◽

M. Ramli ◽

U. N. Sari ◽

M. Umar ◽

D. K. Mudrick

Keyword(s):

Papillary Thyroid Carcinoma ◽

Thyroid Carcinoma ◽

Total Thyroidectomy ◽

Neck Mass ◽

Thyroglossal Duct Cyst ◽

Papillary Thyroid ◽

Duct Cyst ◽

Palpable Mass ◽

Thyroglossal Duct ◽

Sistrunk Procedure

Background.We present two rare cases of papillary carcinomas which appeared in thyroglossal duct cysts. These cases highlight that thyroglossal duct cyst can serve as malignancy of thyroid gland.Methods.A retrospective case report was carried out on 2 patients at Cipto Mangunkusumo Hospital.Results.A 57-year-old man presented with enlarged right anterior and midline neck mass, which preoperatively were diagnosed as thyroglossal duct cyst (TDC) and nontoxic multinodular goiter. A total thyroidectomy and Sistrunk procedure were performed. In the second case, a 35-year-old woman presented with a lump which occurred at anterior neck region without palpable mass at the thyroid. Preoperatively, it was diagnosed as TDC. Sistrunk procedure was performed, followed by total thyroidectomy a month after the first operation. Histopathology showed papillary thyroid carcinoma in both patients.Conclusion.The occurrence of carcinoma in TDC is very rare but should always be considered as an option in making diagnosis for a neck mass.

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