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 Cytological analysis of thyroglossal duct cysts

2016 ◽  
Vol 69 (5-6) ◽  
pp. 135-139
Author(s):  
Gostimir Mikac ◽  
Momcilo Biukovic
Keyword(s):  
Needle Aspiration ◽  
Thyroglossal Duct Cyst ◽  
Malignant Cells ◽  
Aspiration Cytology ◽  
Duct Cyst ◽  
Cholesterol Crystals ◽  
Thyroglossal Duct ◽  
Fine Needle ◽  
Thyroglossal Duct Cysts ◽  
Needle Aspiration Cytology

Introduction. Thyroglossal duct cysts are regarded as congenital anomalies. They arise from the residual segments of thyroglossal duct. A cancer with the incidence rate from 1% to 1.5% may develop in thyroglossal duct cysts. Approximately 30% of patients asked to be examined due to inflammatory cysts. This study was aimed at determining the cytological characteristics of thyroglossal duct cyst smear, such as cell specificity, cellularity and the content of the extracellular matrix. Material and Methods. Thyroglossal duct cyst smears were analyzed in 28 adult patients who had undergone the fine-needle aspiration cytology in the period from 2004 to 2014. Three patients underwent the surgery following the Sistrunk procedure. The rest of the patients are in the process of monitoring. The monitoring process lasts from 1 to 10 years. Results. As many as 27 out of 28 smears contained macrophages, 9 contained stratified squamous epithelial cells and only 4 smears contained follicular cells. Granulocytes were present in 4 smears. Two smears had scarce cellularity, 21 had moderate and 5 high cellularity. Malignant cells were not observed. In 19 smears, extracellular matrix consisted of cholesterol crystals. Conclusion. Thyroglossal duct cysts have no specific cytological features. Macrophages are the dominant cell population. Cholesterol crystals and stratified squamous epithelial cells enable differentiation of thyroglossal duct cysts from thyroid gland cystic nodules. Fine-needle aspiration cytology is necessary when assessing the cellular composition of thyroglossal duct cysts in order to promptly detect the possible presence of malignant cells and to conduct a surgical treatment.

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 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 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 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.

scholarly journals Distinguishing between isthmic thyroglossal duct cyst and goitre on nuclear thyroid scan: A case report

2021 ◽  
Vol 16 (3) ◽  
pp. 108-111
Author(s):  
Yetunde Ajoke Onimode ◽  
Segun Ayodeji Ogunkeyede ◽  
Peter Afolami
Keyword(s):  
Case Report ◽  
Fine Needle Aspiration ◽  
Clinical Management ◽  
Needle Aspiration ◽  
Thyroglossal Duct Cyst ◽  
Duct Cyst ◽  
Thyroglossal Duct ◽  
Fine Needle ◽  
Thyroid Scan ◽  
Thyroglossal Duct Cysts

Thyroglossal duct cysts, which are the most frequently encountered congenital cervical anomalies in children, occur due to embryologic remnants of the thyroglossal duct. Although diagnosis may be challenging, clinicians can be aided by imaging and fine-needle aspiration biopsies. We describe the clinical management of a two-year-old boy with a thyroglossal duct cyst mimicking a goitre on a pertechnetate thyroid scan.

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