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

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.

1999 ◽  
Vol 117 (6) ◽  
pp. 248-250 ◽  
Author(s):  
Antonio Santos Martins ◽  
Giulianno Molina de Melo ◽  
Alfio José Tincani ◽  
Henriette Toledo Lage ◽  
Patrícia Sabino de Matos

CONTEXT: Thyroglossal duct cysts are the most common congenital cervical abnormality in childhood. Malignant lesions are rare in thyroglossal duct cysts (about 1%). OBJECTIVE: To report a case of papillary carcinoma in thyroglossal duct cysts. DESIGN: Case report. CASE REPORT: The patient was a 21-year-old female with a four-month history of an anterior midline neck mass but without other symptoms. The physical examination revealed a 4.0 cm diameter, smooth, painless, cystic nodule at the level of the hyoid bone. The thyroid gland was normal by palpation and no neck lymph nodes were found. Indirect laryngoscopy, fine-needle biopsy aspiration and cervical ultrasound were normal and compatible with the physical findings of a thyroglossal duct cyst. The patient underwent surgery with this diagnosis, under general anesthesia, and the mass was resected by the usual Sistrunk procedure. There were no local signs of invasion of the tissue surrounding the cyst or duct at surgery. The patient was discharged within 24 hours. Histopathological examination of the specimen showed a 3.5 x 3.0 x 3.0 cm thyroglossal cyst, partially filled by a solid 1.0 x 0.5 cm brownish tissue. Histological sections showed a papillary carcinoma in the thyroid tissue of a thyroglossal cyst, with normal thyroid tissue at the boundary of the carcinoma. There was no capsule invasion and the margins were negative. The follow-up of the patient consisted of head and neck examinations, ultrasonography of the surgical region and thyroid, and total body scintigraphy. The patient has been followed up for two years with no further evidence of disease.


2014 ◽  
Vol 6 (1) ◽  
pp. 129-131
Author(s):  
Mukta Rawte ◽  
Nabaneet Majumder ◽  
Virendra Dafle ◽  
Pramod Purohit

Thyroglossal duct cysts are most common congenital anomalies in thyroid development and are usually presented with midline neck swelling. The co-existence of carcinoma in thyroglossal duct cyst’s is extremely rare. We, herein present a case of primary papillary carcinoma arising from thyroglossal duct cyst in a 45 year old woman. DOI: http://dx.doi.org/10.3126/ajms.v6i1.9305 Asian Journal of Medical Sciences Vol.6(1) 2015 129-131


2016 ◽  
Vol 6 (2) ◽  
pp. 172
Author(s):  
Ashim Kumar Biswas ◽  
Kazi Shameemus Salam ◽  
Md. Mosleb Uddin ◽  
Kanu Lal Saha ◽  
Belayat Hossain Siddiquee ◽  
...  

Thyroglossal duct cyst carcinoma in a rare condition. Only around 250 cases of malignant thyroglossal cyst have been reported as far. We report a 45 years old women presenting with a painless swelling in the midline in the upper part of front of neck for 1 yr. This swelling moves with deglutition, multilobulated moves up on protrusion of tongue. FNAC revealed cystic lesion compatible with thyroglossal duct cyst. Ultrasonogram revealed mass is separated from thyroid gland. Patient underwent sistnmk's operation and tissue was sent for histopathological examination and report reveled papillary carcinoma of thyroglossal duct cyst.


Head & Neck ◽  
2009 ◽  
Vol 31 (10) ◽  
pp. 1387-1391 ◽  
Author(s):  
Mathew Pynumootil Cherian ◽  
Balakrishnan Nair ◽  
Shaji Thomas ◽  
Thara Somanathan ◽  
Paul Sebastian

2013 ◽  
Vol 5 (3) ◽  
pp. 148-150 ◽  
Author(s):  
Neena Sood ◽  
Manish Munjal ◽  
Bhawna Garg ◽  
Vikram Bhardwaj

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.


2018 ◽  
Author(s):  
M Delgado ◽  
J Paz ◽  
E Linares ◽  
J Gonzales ◽  
R Lopez ◽  
...  

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