Anatomy-based surgery to remove thyroglossal duct cyst: two anomalous cases

2009 ◽  
Vol 124 (4) ◽  
pp. 443-446 ◽  
Author(s):  
T Iwata ◽  
S Nakata ◽  
H Tsuge ◽  
F Koide ◽  
M Sugiura ◽  
...  
Keyword(s):  
Case Report ◽  
Hyoid Bone ◽  
Thyroglossal Duct Cyst ◽  
The Other ◽  
Thyroglossal Cyst ◽  
Duct Cyst ◽  
Thyroglossal Duct ◽  
Thyroglossal Duct Cysts

AbstractObjective:To review previous reports and to discuss the management of branching polycystic and giant thyroglossal duct cysts.Case report:We present two cases of thyroglossal duct cyst: one a branching, polycystic thyroglossal duct cyst in an 11-year-old boy, and the other a giant thyroglossal cyst in a 41-year-old man. Such cysts are rare. Both patients were operated upon according to the methods of Sistrunk and Horisawa, and both had a satisfactory post-operative course.Discussion:We discuss the most important aspects of such cyst removal procedures.Conclusion:Our experience suggests that surgery to remove an anomalous thyroglossal duct cyst should be performed using a technique based on the anatomy of the hyoid bone region.

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

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.

Computed Tomography and the Thyroglossal Duct Cyst

1986 ◽  
Vol 95 (1) ◽  
pp. 93-98 ◽  
Author(s):  
Robert F. Ward ◽  
Robert W. Selfe ◽  
Leslie St. Louis ◽  
David Bowling
Keyword(s):  
Computed Tomography ◽  
Hyoid Bone ◽  
Close Relation ◽  
Thyroglossal Duct Cyst ◽  
Duct Cyst ◽  
Diagnostic Modality ◽  
Thyroglossal Duct ◽  
Neck Masses ◽  
High Resolution Images ◽  
Thyroglossal Duct Cysts

Thyroglossal duct cysts (TDC) classically present as midline neck masses in close relation to the hyoid bone; yet—not uncommonly—their locations may be varied from the midline and from the hyoid. By means of the diagnostic modality of computed tomography (CT), high-resolution images of several cases of alternate presentations and locations of the TDC are examined. Included are examples of TDC in the suprahyoid, transhyoid, infrahyoid, and lateral positions. The potential value of CT in the diagnosis of the unusual cyst will be demonstrated and discussed.

scholarly journals Infected Thyroglossal Duct Cyst Involving Submandibular Region: A Case Report

2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
Rahul A. Gandhi ◽  
Rahul Bhowate ◽  
Shirish Degweker ◽  
Arvind Bhake
Keyword(s):  
Hyoid Bone ◽  
Cystic Lesion ◽  
Inflammatory Cells ◽  
Needle Aspiration ◽  
Thyroglossal Duct Cyst ◽  
Histopathological Analysis ◽  
Thyroglossal Cyst ◽  
Duct Cyst ◽  
Submandibular Region ◽  
Thyroglossal Duct

Thyroglossal duct cyst presents most frequently in the midline of the neck, either at or just below the level of the hyoid bone. They generally manifest as painless neck swelling, and they move on protrusion of tongue and during swallowing. A case of thyroglossal cyst was reported in the left submandibular region in a 14-year-old girl, above the level of hyoid bone; ultrasound examination favored a cystic lesion which moved in a vertical fashion on swallowing whereas fine needle aspiration cytology report was suggestive of simple cystic lesion of thyroglossal cyst. No lymphoid or malignant cells were present. The cyst was excised completely by surgical procedure under general anesthesia. Histopathological analysis revealed thyroglossal cyst showing columnar and flattened epithelium of cyst with focal aggregate of chronic inflammatory cells supported by fibrocollagenous cyst wall. The clinical, ultrasound, and histopathological findings suggested that the lesion was an infected thyroglossal cyst. There was no evidence of recurrence 6 months after surgery.

scholarly journals Papillary Carcinoma of the Thyroglossal Duct Cyst: A Case Report and Review of Literature

2013 ◽  
Vol 5 (3) ◽  
pp. 148-150 ◽  
Author(s):  
Neena Sood ◽  
Manish Munjal ◽  
Bhawna Garg ◽  
Vikram Bhardwaj
Keyword(s):  
Case Report ◽  
Total Thyroidectomy ◽  
Papillary Carcinoma ◽  
Hormone Replacement ◽  
Thyroglossal Duct Cyst ◽  
Review Of Literature ◽  
Thyroglossal Cyst ◽  
Duct Cyst ◽  
Thyroglossal Duct ◽  
Sistrunk Operation

ABSTRACT Papillary carcinoma arising in thyroglossal cyst is rare and is usually detected on postoperative histopathology after routine Sistrunk operation. Further management is a matter of debate and the choice lies between regular follow-up after Sistrunk operation or total thyroidectomy with or without radioiodine ablation and thyroxine suppression therapy. Here, we present a case of papillary carcinoma of thyroglossal duct cyst in a 26- year-old lady. Papillary carcinoma was detected after a routine Sistrunk operation was done for a seemingly innocuous thyroglossal cyst. A total thyroidectomy was carried 1 week later followed by hormone replacement therapy to suppress serum thyroid-stimulating hormone levels. How to cite this article Munjal M, Garg B, Sood N, Bhardwaj V. Papillary Carcinoma of the Thyroglossal Duct Cyst: A Case Report and Review of Literature. Int J Otorhinolaryngol Clin 2013;5(3):148-150.

Thyroglossal duct cyst masquerading as a haematoma

2004 ◽  
Vol 118 (3) ◽  
pp. 240-241 ◽  
Author(s):  
Ricardo Persaud ◽  
Melissa Short ◽  
Prasad Kothari ◽  
Anthony Robinson
Keyword(s):  
Needle Aspiration ◽  
Thyroglossal Duct Cyst ◽  
Thyroglossal Cyst ◽  
Suprasternal Notch ◽  
Aspiration Cytology ◽  
En Bloc ◽  
Duct Cyst ◽  
Thyroglossal Duct ◽  
Thyroglossal Duct Cysts ◽  
Needle Aspiration Cytology

Thyroglossal duct cysts most frequently present in childhood as painless midline swellings around the level of the hyoid. Classically the cyst moves upwards on protruding the tongue. Here we report a novel case of a thyroglossal cyst in an adult in whom the history, examination and fine needle aspiration cytology were typical of a traumatic haematoma. This case is also unique because the thyroglossal duct cyst extended beyond the thyroid gland to the suprasternal notch and actually required two parallel transverse cervical incisions for its complete en bloc removal.

scholarly journals Triple thyroglossal duct cysts in an adult: a rare case report and review of literature

2020 ◽  
Vol 18 (2) ◽  
pp. 121-126
Author(s):  
Abhishek Bhardwaj ◽  
◽  
Kartikesh Gupta ◽  
Manu Malhotra ◽  
Madhu Priya ◽  
...  
Keyword(s):  
English Literature ◽  
Neck Mass ◽  
Thyroglossal Duct Cyst ◽  
Thyroglossal Cyst ◽  
Duct Cyst ◽  
Thyroglossal Duct ◽  
Rare Case Report ◽  
Thyroglossal Duct Cysts ◽  
Atypical Presentations ◽  
Work Up

Introduction. Thyroglossal duct cyst (TDC) is the most common cause of congenital neck mass. These can present anywhere from foramen caecum to mediastinum. Usually presents as a solitary cyst, the double thyroglossal cyst is very rare and a triple thyroglossal cyst has never been reported. Aim. Herein, we report an atypical case of triple thyroglossal cyst, at levels of hyoid, thyrohyoid membrane and thyroid isthmus managed surgically without any complication. Description of the case. We are presenting case of a 48-year-old female who presented to us with the complaint of anterior neck swelling since birth. On work up it was diagnosed as a case of the thyroglossal duct cyst and was intraoperatively found to have 3 distinct cystic swellings connected to a common stalk lying beneath the hyoid. It was successfully treated by modified Sistrunk’s procedure. There was no evidence of recurrence on follow up for 6 months. Considering atypical presentations, there are 9 cases reported with the double thyroglossal duct cyst, TDC within the thyroid gland and sublingual TDC. Such presentations make the diagnosis more challenging, leading to improper treatment. Conclusion. We are presenting this case as there is no case reported in English literature with a triple thyroglossal duct cyst. An awareness that thyroglossal cyst can present as multiple cysts is important for clinician in order to perform correct surgical management and to avoid the most feared complication of recurrence.

scholarly journals Papillary Carcinoma of Thyroid in Thyroglossal Cyst- A Case Report

2021 ◽  
Author(s):  
RB Namasivaya Navin ◽  
S Rajasekaran ◽  
PN Aswin Vaishali ◽  
K Priya ◽  
S Prabakaran
Keyword(s):  
Case Report ◽  
Papillary Carcinoma ◽  
Histopathological Examination ◽  
Correct Diagnosis ◽  
Thyroglossal Duct Cyst ◽  
Duct Cyst ◽  
Thyroglossal Duct ◽  
Incomplete Removal ◽  
Thyroglossal Duct Cysts ◽  
One Year

Thyroglossal duct cysts are most commonly occurring congentinal midline swellling of the neck. Usually carcinomas in thyroglossal duct cysts is extremely rare, commonly known as papillary carcinomas. However, the diagnosis is only made postoperatively after excision of the cyst. Although the Sistrunk procedure is often regarded as adequate but controversies exist, the need for thyroidectomy is based on histopathological findings. This is a case report of 43-year-old male presenting with swelling in the midline of the neck for one year. On examination, a cystic swelling was present in the midline of the anterior aspect of the neck. Ultrasonography (USG) neck revealed heteroechoic cystic lesion with solid component and microcalcifications present within the cyst suggestive of thyroglossal duct cyst probably neoplastic. The mass was surgically excised and sent for histopathological examination and reported as thyroglossal duct cyst with papillary carcinoma of thyroid. Appropriate history, clinical examination and investigation leads to the correct diagnosis and treatment. Incomplete removal of the mass leads to recurrence. Histopathological examination is a must postoperatively. The patient is still on follow-up and no recurrence have been noted.

scholarly journals Locally Advanced Thyroglossal Duct Cyst Carcinoma Presenting as a Neck Mass

2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
Author(s):  
Niranjan Tachamo ◽  
Brian Le ◽  
Jeffrey Driben ◽  
Vasudev Magaji
Keyword(s):  
Radioactive Iodine ◽  
Locally Advanced ◽  
Neck Mass ◽  
Thyroglossal Duct Cyst ◽  
Thyroglossal Cyst ◽  
Duct Cyst ◽  
Thyroglossal Duct ◽  
Lymph Node Mapping ◽  
Thyroglossal Duct Cysts ◽  
Iodine Treatment

Thyroglossal duct cyst carcinoma is rare and occurs in just 1% of cases with thyroglossal duct cysts. It is not always possible to distinguish a thyroglossal cyst harboring malignancy from its benign counterparts unless biopsied, thus posing the dilemma. Currently there is no clear consensus on the optimal management of thyroglossal duct cyst carcinoma. Here we present the case of a 69-year-old female who presented with a midline neck mass and dysphagia and was found to have papillary thyroid cancer in the biopsy specimen of the neck mass. She underwent excision of the mass and the thyroglossal duct cyst along with total thyroidectomy; however, the thyroidectomy specimen showed no malignancy. Her lymph node mapping was negative and she is awaiting radioactive iodine treatment.

scholarly journals Presentation of Thyroglossal Cyst in Children

2016 ◽  
Vol 5 (2) ◽  
pp. 45-53
Author(s):  
Shaikh Nurul Fattah Rumi ◽  
Shaikh Muniruddin Ahmad ◽  
Shahnaz Rahman ◽  
Abdul Hanif Tablu
Keyword(s):  
Hyoid Bone ◽  
Neck Surgery ◽  
Neck Mass ◽  
Thyroglossal Duct Cyst ◽  
Thyroglossal Cyst ◽  
College Hospital ◽  
Duct Cyst ◽  
Female Ratio ◽  
Thyroglossal Duct ◽  
Sistrunk Operation

Background: Thyroglossal duct cyst a developmental anomaly present as a congenital cervical masses of neck in children.Objectives: To observe its deferent presentation and evaluate among the children.Materials and methods: This observational cross section study conducted among patients of eighteen years of age present with thyroglossal duct cyst between 2007 to 2012 in the department of ENT and Head- Neck surgery, Dhaka Medical College Hospital, Dhaka. All patients were operated by Sistrunk operation under (excision of total cyst and removal median portion hyoid bone) under general anesthesia. All specimens were histo-pathologically confirmed.Results: Among 24 children with thyroglossal cyst, 15 boys and 9 girls with male female ratio 1.67:1, age ranged from 4 years to 18 years (mean 9.46 std ±4.27). Male (mean 7.53±4.01years) child are younger than female (mean 12.67±2.39 years) child. 66.67% male children were below 10 years of age and 88.89% female children were over 10 years of age. According to the presentation site 17(70.83%) cases were juxtra hyoid, 4(16.67%) were suprahyoid and 3 (12.50%) were infrahyoid. 23 (95.83%) were present as midline swelling, only 1(4.17%) was present as left lateral infrahyoid swelling. 4(16.67%) patient were attended as thyroglossal fistulae with history of intervention. 4(16.67%) patient were developed recurrence followed by surgical resection within two years.Conclusion: Thyroglossal duct cyst present as an asymptomatic midline neck mass around the hyoid region in children. Complete resection along with median portion hyoid bone prevents recurrence.J. Paediatr. Surg. Bangladesh 5(2): 45-53, 2014 (July)

scholarly journals Papillary Carcinoma in Thyroglossal Cyst

2014 ◽  
Vol 4 (2) ◽  
pp. 69-70
Author(s):  
Gautam Khaund ◽  
Vivek Agarwal ◽  
Surajit Barman ◽  
Debika Baruah ◽  
Biswajit Gogoi
Keyword(s):  
Papillary Carcinoma ◽  
Thyroglossal Duct Cyst ◽  
Thyroglossal Cyst ◽  
Risk Profiles ◽  
Duct Cyst ◽  
Thyroglossal Duct ◽  
Thyroglossal Duct Cysts

ABSTRACT Thyroglossal duct cysts are not uncommon but malignancy in such a cyst is infrequent. Two patients of thyroglossal duct cyst papillary carcinoma are presented here. Both of these patients had different risk profiles and were managed differently. Both the patients have been followed up for 5 years and have shown no recurrences. How to cite this article Khaund G, Agarwal V, Barman S, Baruah D, Gogoi B. Papillary Carcinoma in Thyroglossal Cyst. Int J Phonosurg Laryngol 2014;4(2):69-70.

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