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

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.

2000 ◽  
Vol 124 (1) ◽  
pp. 139-142
Author(s):  
Yi Jun Yang ◽  
Shahandeh Haghir ◽  
John R. Wanamaker ◽  
Celeste N. Powers

Abstract The incidence of papillary thyroid carcinoma arising in a thyroglossal duct cyst is rare and occurs in about 1% of thyroglossal duct cysts. Only 17 such cases diagnosed with fine-needle aspiration biopsy have been previously reported in the English-language literature, with a diagnostic rate of 53%. In this article, the cytologic features of the current case are emphasized and those of the previous reported cases are briefly reviewed. Diagnostic pitfalls of papillary carcinoma arising in thyroglossal duct cysts diagnosed by fine-needle aspiration biopsy are also discussed.


Endocrine ◽  
2014 ◽  
Vol 46 (1) ◽  
pp. 160-163 ◽  
Author(s):  
Debora L. S. Danilovic ◽  
Suemi Marui ◽  
Erika U. Lima ◽  
Arthur V. C. Luiz ◽  
Marilia D. E. G. Brescia ◽  
...  

2016 ◽  
Vol 69 (5-6) ◽  
pp. 135-139
Author(s):  
Gostimir Mikac ◽  
Momcilo Biukovic

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.


2004 ◽  
Vol 118 (3) ◽  
pp. 240-241 ◽  
Author(s):  
Ricardo Persaud ◽  
Melissa Short ◽  
Prasad Kothari ◽  
Anthony Robinson

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.


Author(s):  
RB Namasivaya Navin ◽  
S Rajasekaran ◽  
PN Aswin Vaishali ◽  
K Priya ◽  
S Prabakaran

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.


Author(s):  
Yoshiki Kohashi ◽  
Tomohiro Yamamoto ◽  
Miki Igarashi ◽  
Hironobu Nishimaki

Lingual thyroglossal duct cysts can be a rare cause of feeding difficulties in infants. Here, we describe a case of an undiagnosed lingual thyroglossal duct cyst in an infant with vomiting and feeding difficulty, who underwent surgery for Hirschsprung’s disease and had an unexpected difficult airway during anesthesia induction.


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