scholarly journals Thyroglossal Duct Cyst Papillary Carcinoma With Airway Compromise

2021 ◽  
pp. 014556132110220
Author(s):  
Po-Kai Huang ◽  
Li-Chun Hsieh ◽  
Yi-Shing Leu
Keyword(s):  
Symptom Relief ◽  
Thyroid Tissue ◽  
Neck Mass ◽  
Thyroglossal Duct Cyst ◽  
Ectopic Thyroid ◽  
Airway Compromise ◽  
Duct Cyst ◽  
Complete Excision ◽  
Thyroglossal Duct ◽  
Ectopic Thyroid Tissue

Thyroglossal duct cysts are typically benign and usually asymptomatic. Malignant transformation is uncommon. Intralaryngeal extension is rare and results in dysphonia or dyspnea. There is no literature nowadays reporting the thyroglossal duct cyst carcinoma combining the clinical features of intralaryngeal extension. The authors present a case of progressive hoarseness and midline neck mass for 2 years. The laryngoscope and computed tomography revealed a 6-cm thyroglossal duct cyst containing ectopic thyroid tissue with intralaryngeal extension and causing airway obstruction. Complete excision with Sistrunk operation revealed papillary thyroid carcinoma. The patient resumed normal phonation after the surgery. There was no evidence of tumor recurrence and no hoarseness or dyspnea at 6 months follow up. This is the first reported case of a huge thyroglossal duct cyst carcinoma with intralaryngeal extension causing airway compromise. Complete excision of tumor is essential and vital to the symptom relief. A thyroglossal duct cyst carcinoma with endolaryngeal involvement should be considered in the differential diagnosis when the case has a massive midline neck mass with ectopic thyroid tissue and develops dyspnea or hoarseness concurrently.

Scintigraphic Demonstration of Ectopic Thyroid Tissue in a Thyroglossal Duct Cyst in the Presence of a Normal Thyroid

2011 ◽  
Vol 36 (12) ◽  
pp. 1142-1143 ◽  
Author(s):  
Sampath Santhosh ◽  
Bhagwant Rai Mittal ◽  
Koramadai Karuppusamy Kamaleshwaran ◽  
Rahul Parghane ◽  
Anish Bhattacharya ◽  
...  
Keyword(s):  
Thyroid Tissue ◽  
Thyroglossal Duct Cyst ◽  
Ectopic Thyroid ◽  
Duct Cyst ◽  
Thyroglossal Duct ◽  
Normal Thyroid ◽  
Ectopic Thyroid Tissue

scholarly journals Ectopic Papillary Carcinoma in the Midline Neck Accompanied by a Benign Thyroid Gland

2019 ◽  
Vol 2019 ◽  
pp. 1-3
Author(s):  
Lauran Evans ◽  
SeHoon Park ◽  
Christie Elliott ◽  
Courtney Garrett
Keyword(s):  
Thyroid Gland ◽  
Unusual Case ◽  
Thyroid Tissue ◽  
Thyroglossal Duct Cyst ◽  
The Body ◽  
Ectopic Thyroid ◽  
Duct Cyst ◽  
Thyroglossal Duct ◽  
Ectopic Thyroid Tissue ◽  
Benign Thyroid

Ectopic thyroid tissue can deposit anywhere in the body. There are several cases reporting papillary thyroid carcinoma (PTC) arising from ectopic tissues; however, these cases largely presented with primary PTC within the native thyroid gland as well. Alternatively, some cases report of PTC found solely in an ectopic thyroglossal duct cyst, but reports of isolated malignancy in other types of ectopic thyroid tissue with normal native tissue are sparse throughout the literature. Here, we present an unusual case of PTC in the midline anterior neck that does not appear to be consistent with a thyroglossal duct cyst, accompanied by a completely benign native thyroid gland, of which only few cases have been reported.

Thyroglossal Duct Cyst Causing Airway Obstruction in an Adult

1996 ◽  
Vol 75 (8) ◽  
pp. 530-534 ◽  
Author(s):  
Eugene G. Brown ◽  
Marcus S. Albernaz ◽  
Mark T. Emery
Keyword(s):  
Airway Obstruction ◽  
English Language ◽  
Neck Mass ◽  
Thyroglossal Duct Cyst ◽  
Airway Compromise ◽  
Anterior Neck ◽  
Duct Cyst ◽  
Cervical Mass ◽  
Thyroglossal Duct ◽  
Thyroglossal Duct Cysts

Thyroglossal duct cysts, though not uncommon, rarely present with evidence of laryngeal compromise. The case presented is one of the very few cases with documented laryngeal invasion reported in the English language. Of clinical significance is the patient's presentation with laryngeal symptoms of choking and dysphonia in the presence of a small anterior cervical mass. While the thyroglossal duct cyst usually presents as an asymptomatic anterior neck mass, this case illustrates the importance of considering a thyroglossal duct cyst in any patient with airway compromise in the absence of a neck mass.

scholarly journals Papillary Thyroid Carcinoma Within Thyroglossal Duct Cyst

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. A895-A896
Author(s):  
Raghda Al Anbari ◽  
Majlinda Xhikola ◽  
Sushma Kadiyala
Keyword(s):  
Thyroid Gland ◽  
Total Thyroidectomy ◽  
Thyroid Cartilage ◽  
Thyroid Tissue ◽  
Neck Mass ◽  
Thyroglossal Duct Cyst ◽  
Papillary Thyroid ◽  
Anterior Neck ◽  
Duct Cyst ◽  
Thyroglossal Duct

Abstract A 55-year-old female with medical history of hypothyroidism and fibrocystic disease of the breast presented with complains of a painful anterior neck mass, difficulty swallowing and hoarseness of the voice. Symptoms had progressed over a period of 5 months. CT neck with contrast indicated the presence of an ectopic thyroid tissue anterior to the thyroid cartilage measuring approximately 1.7 x 1.2 x 3.1 cm, with indistinct inferior margins and internal calcifications. The hyoid bone or thyroid cartilage had no irregularities. The thyroid gland itself was unremarkable except for small complex thyroid nodules in both lobes. No masses within the pharynx or larynx were noted. Family history was significant for lymphoma in her father. On physical exam, a hard, mobile right anterior neck mass was appreciated. Labs showed normal TSH of 1.05 uIU/mL and normal free T4 of 1.2 ng/dL. Further evaluation with a dedicated neck US showed a right submandibular mass, superior to the thyroid, lobulated and heterogeneous measuring 2.0 x 1.0 x 2.3 cm with multiple areas of calcifications and internal Doppler flow. The thyroid gland had normal size and texture with bilateral sub centimeter non-concerning nodules. After ENT evaluation and an unremarkable flexible fiberoptic nasolaryngoscope, patient underwent surgical excisional biopsy of the neck mass. Pathology was consistent with thyroglossal duct cyst with the presence of thyroid follicles. An incidental finding of a 0.9 cm papillary microcarcinoma was noted, which was encapsulated with focal extracapsular follicular structures showing papillary nuclear features with no perineural or lymphovascular invasion. The tumor cells were immunoreactive for TTF-1 and PAX8. Development of papillary thyroid cancer within the thyroglossal duct cyst is a rare event, reportedly occurring in 1% of thyroglossal duct cysts. There are no well-established management guidelines. Current management strategies consist of monitoring with serial neck ultrasound versus total thyroidectomy with consideration of postsurgical I-131 treatment, based on pathology results. Our patient opted for undergoing total thyroidectomy.

scholarly journals Recurrent Graves’ Disease in Thyroglossal Duct Following Total Thyroidectomy

2021 ◽  
pp. 1-3
Author(s):  
John Petrie IV ◽  
John Petrie IV ◽  
Arvind Manisundaram ◽  
Irene Yu ◽  
Steven Schwaitzberg
Keyword(s):  
Total Thyroidectomy ◽  
Surgical Resection ◽  
Hormone Replacement ◽  
Thyroid Tissue ◽  
Neck Mass ◽  
Ectopic Thyroid ◽  
Graves Disease ◽  
Thyroglossal Duct ◽  
Ectopic Thyroid Tissue ◽  
Thyroglossal Duct Remnant

Introduction: A 46-year-old female with a past medical history of Graves’ disease refractory to medical management, thus requiring total thyroidectomy presented to clinic for recurrence of her hyperthyroidism and an increasing midline neck mass two years after her index operation. Case Description: CT imaging of the neck mass revealed a locally extensive enhancing abnormality immediately anterior to the hyoid bone within the infrahyoid muscles measuring 1.4x.1.9x4.0 cm. This was consistent with an exceedingly rare proliferation of a thyroglossal duct remnant secondary to recurrence of the patient’s Graves’ disease. The patient was treated with surgical resection of the neck mass shown to be ectopic Graves’ activated thyroid tissue by pathology. The patient was restarted on thyroid hormone replacement therapy and has remained euthyroid to date following surgical resection. Conclusion: The incidence of this event is estimated to be approximately one per a million persons and thus is a rare occurrence in endocrinology. This case highlights the potential shortcomings of surgical management of Graves’ disease. Following surgical resection, the autoimmune status of the patient remains unchanged. Ectopic thyroid tissue can be found anywhere along the embryologic descent of the thyroid gland and as low as the mediastinum. Thus, patients treated with total thyroidectomy should still be monitored regularly for recurrence of Graves’ disease secondary to ectopic thyroid tissue.

scholarly journals Submandibular ectopic thyroid gland: an uncommon presentation

2021 ◽  
Vol 37 (1) ◽  
Author(s):  
Inès Riahi ◽  
Rim Fradi ◽  
Ibtissem Ben Nacef ◽  
Ahlem Blel
Keyword(s):  
Thyroid Gland ◽  
Thyroid Tissue ◽  
Ectopic Thyroid ◽  
Lingual Thyroid ◽  
Submandibular Region ◽  
Case Presentation ◽  
Thyroglossal Duct ◽  
Common Presentation ◽  
Ectopic Thyroid Tissue ◽  
Uncommon Presentation

Abstract Background Ectopic thyroid is a developmental anomaly of the thyroid gland of embryological origin. Instead of having a pretracheal situation, thyroid tissue is elsewhere, most commonly in the median cervical line along the course of the thyroglossal duct. Lingual thyroid is the most common presentation. Ectopic thyroid tissue in the submandibular region has been rarely reported. Case presentation We report herein a case of a 65-year-old man admitted to our department with a complaint of a painless swelling in the left submandibular region. Conclusions Thyroid gland ectopia should be considered among the differential diagnoses of submandibular swelling. Ectopic thyroid tissue can present with the same pathology affecting the normal thyroid gland such as malignancy and hyperthyroidism.

scholarly journals Role of Tc-99m pertechnetate thyroid scintigraphy in evaluation of lingual and midline neck swellings

2018 ◽  
Vol 6 (3) ◽  
pp. 842
Author(s):  
Bhairavi Mohit Bhatt ◽  
Shwetal Uday Pawar ◽  
Anuja Anand ◽  
Mangala Kedar Ghorpade ◽  
Suruchi Suresh Shetye
Keyword(s):  
Thyroid Tissue ◽  
Thyroglossal Duct Cyst ◽  
Neck Swelling ◽  
Thyroid Scintigraphy ◽  
Thyroglossal Cyst ◽  
Duct Cyst ◽  
Thyroglossal Duct ◽  
Technetium 99M ◽  
Ectopic Tissue

Background: The ectopic thyroid tissue in thyroglossal cyst or suprahyoid swelling is one of most important differential to be diagnosed. The purpose of this study was to find out role of Technetium-99m Pertechnetate Thyroid Scintigraphy (TS) to detect functioning thyroid tissue in ectopic locations presenting as midline neck swelling.Methods: A retrospective observational study was done where 26 subjects presenting with midline neck swelling were included. These subjects were injected with 1-5MBq/kg of Technetium-99m Pertechnetate to perform the TS. The uptake of tracer in the midline neck swelling and in other ectopic location was assessed. The comparison with Ultrasound (USG) was also done.Results: 12 (46.15%) subjects presented with infra hyoid swelling and rest 14 (53.85%) presented with supra hyoid and submental swelling. 33.3% subjects presenting with thyroglossal duct cyst showed functioning thyroid tissue. Also 4 subjects showed dual functioning ectopic tissue. USG an TS showed concordant results for detecting thyroid tissue in ectopic location (p=0.68). However, TS performed better to detect ectopically located thyroid tissue (p=0.0086).Conclusions: USG and TS showed similar results to detect thyroid tissue in normal location. However, TS is better to detect topically located thyroid tissue. TS adds information of functioning thyroid tissue during workup of midline neck swelling. 

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.

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