Management Of Recurrent Thyroglossal Duct Remnants After Sistrunk Procedure: A Clinical Narrative Review Of Surgical Approaches

10.5580/2b79 ◽  
2012 ◽  
Vol 14 (1) ◽  
Keyword(s):  
Narrative Review ◽  
Surgical Approaches ◽  
Thyroglossal Duct ◽  
Clinical Narrative ◽  
Sistrunk Procedure ◽  
Thyroglossal Duct Remnants

Papillary Thyroid Carcinoma Identified after Sistrunk Procedure: Report of Two Cases and Review of the Literature

2003 ◽  
Vol 89 (2) ◽  
pp. 207-210 ◽  
Author(s):  
Paolo Aluffi ◽  
Massimiliano Pino ◽  
Renzo Boldorini ◽  
Francesco Pia
Keyword(s):  
Lymph Node ◽  
Papillary Thyroid Carcinoma ◽  
Thyroid Carcinoma ◽  
Thyroid Tissue ◽  
Surgical Approaches ◽  
Papillary Thyroid ◽  
Duct Carcinoma ◽  
Thyroglossal Duct ◽  
Sistrunk Procedure ◽  
Thyroglossal Duct Cysts

Thyroglossal duct cysts represent the most common congenital cervical malformations. Carcinomas arising in the thyroglossal duct cysts are rare neoplasms characterized by a relatively non aggressive behavior with rare lymph node spread. Approximately 1% of thyroglossal cysts contain a carcinoma. The most frequent histological type is papillary carcinoma, accounting for about 80% of cases. Currently, most authors agree about their primary origin ex novo from ectopic thyroid tissue in the cyst. In most cases the diagnosis of thyroglossal duct carcinoma (TDC) is not made until histopathological examination has been performed on a resected cyst without any suspected clinical sign of malignancy. The definition of the correct surgical treatment for these carcinomas is still controversial; most authors maintain that resection of a TDC with the Sistrunk procedure can be considered oncologi-cally adequate when dealing with a differentiated carcinoma without extracapsular invasion and/or lymph node metastases and with a normal thyroid. We present two cases of papillary thyroid carcinoma identified after resection of a thyroglossal cyst according to the Sistrunk procedure and managed with different surgical approaches according to the different sites of the tumors. In addition, we discuss appropriate therapeutic strategies in light of the most recent data in the literature.

scholarly journals Simultaneous Papillary Carcinoma in Thyroglossal Duct Cyst and Thyroid

2017 ◽  
Vol 2017 ◽  
pp. 1-5 ◽  
Author(s):  
Gustavo Cancela e Penna ◽  
Henrique Gomes Mendes ◽  
Adele O. Kraft ◽  
Cynthia Koeppel Berenstein ◽  
Bernardo Fonseca ◽  
...  
Keyword(s):  
Papillary Carcinoma ◽  
Unusual Case ◽  
Incidental Finding ◽  
Thyroglossal Duct Cyst ◽  
Papillary Thyroid ◽  
Management Options ◽  
Current Management ◽  
Duct Cyst ◽  
Thyroglossal Duct ◽  
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.

scholarly journals Thrombin generation and bleeding in cardiac surgery: a clinical narrative review

2020 ◽  
Vol 67 (6) ◽  
pp. 746-753 ◽  
Author(s):  
John Fitzgerald ◽  
Robert McMonnies ◽  
Aidan Sharkey ◽  
Peter L. Gross ◽  
Keyvan Karkouti
Keyword(s):  
Cardiac Surgery ◽  
Thrombin Generation ◽  
Narrative Review ◽  
Clinical Narrative

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.

scholarly journals Sistrunk Procedure on Malignant Thyroglossal Duct Cyst

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.

scholarly journals CARCINOMA IN THYROGLOSSAL DUCT REMNANTS

1977 ◽  
Vol 87 (10) ◽  
pp. 1685???1691 ◽  
Author(s):  
MERVIN L. TRAIL ◽  
GUY P. ZERINGUE ◽  
JEFFREY P. CHICOLA
Keyword(s):  
Thyroglossal Duct ◽  
Thyroglossal Duct Remnants
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