Intra-thyroid thyroglossal duct cyst as a differential diagnosis of thyroid nodule (original) (raw)
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Diagnostic and Surgical Approach of Thyroglossal Duct Cyst in Children: Ten Years Data Review
Journal of clinical and diagnostic research : JCDR, 2015
Thyroglossal duct cysts are the most common congenital midline neck swelling in children. To evaluate the clinical features, treatment, incidence of complications and outcomes in children with congenital midline neck lesions and more specifically with thyroglossal duct cyst, treated in our department the last ten years. It is a retrospective study. The aggregated data revealed 59 patients with congenital midline neck lesions, of which 33 patients were with thyroglossal duct cyst (TDC). The diagnosis of TDC was made by physical examination, ultrasound (US) in all cases, and for complicated cases a magnetic resonance imaging (MRI) was performed. In all cases followed histopathological conformation of thyroglossal duct cyst. Fifty nine patients were admitted with midline cystic neck mass and the histopathological evaluation revealed, 33 cases (55.9%) of thyroglossal duct cyst, 14 cases (23.7%) of dermoid cysts, 3 cases (5.1%) of second branchial anomalies, 4 cases (6.7%) of inflammatio...
Oman medical journal, 2016
A thyroglossal duct cyst (TDC) is a frequent congenital midline anomaly of the neck that usually manifests during the first decade of life. We aimed to describe the presentation, management, and outcome of TDC in pediatric and adult cases. A retrospective observational analysis was conducted for all patients diagnosed and treated for TDC between 2000 and 2014 in a single center in Qatar. Data included patients' demographics, presentations, preoperative investigations, anesthesia type, histopathological findings, surgical management, recurrences, and complications. We identified 102 patients, of which 57% were males. The mean age of patients was 20.2±15.6 years. A bimodal distribution of TDC has been observed, which peaked between the ages of 6-13 years and at ≥19 years. The preoperative evaluation mainly includes ultrasonography (66%), thyroid function test (44%), and fine-needle aspiration cytology (10%). The median size of the cyst was 25 (2-60) mm. Patients mainly presented w...
Thyroglossal Duct Cyst , Pediatric Pathology with Multidisciplinary Management
2016
Aim of the study The thyroglossal duct cyst is a congenital malformation caused by the persistence of the thyreoglossal duct, which connects the root of the tongue with the thyroid. It is the most common cervical cyst, as it occurs in about 7% of the population and constitutes 70% of the congenital malformations that affect the cervical area. Starting with 1920, the gold standard of the treatment of this condition is cyst excision using the described by Sistrunk. Clinical examination is usually enough to set a diagnosis of thyroglossal duct cyst, but confirmation by ultrasound scanning is useful and even necessary to reveal normally or ectopically located thyroid tissue. The primary aim of this study is to describe and present the author's experience with an aparent simple but sometime challenging and multidisciplinary children condition, thyroglossal duct cyst. Material and Methods We conducted a retrospective analytical study on 26 children with thyroglossal duct cyst hospital...
Thyroglossal duct cysts: Two cases
Journal of Ultrasound, 2012
Thyroglossal duct cyst is the most common congenital neck mass in children and young adults. The authors present two cases affecting two patients aged 7 and 9 years, respectively, who had a palpable painless swelling in the submental region. In both patients ultrasound (US) examination showed an anechoic or hypoechoic rounded mass with well-defined margins thus confirming clinical suspicion of thyroglossal duct cyst. One patient also had a second, deep-lying, nonpalpaple cyst which communicated with the superficial cyst. These cases are typical and confirm that US is essential in suspected thyroglossal duct cyst to confirm clinical diagnosis, detect lesions which are not clinically appreciable due to their small size or deep location, to assess communication between the lesions and to detect possible complications.
Thyroglossal Duct Cyst, a Case Report and Literature Review
Diseases, 2022
A thyroglossal duct cyst (TGDC) is one of the most commonly encountered congenital anomalies of the neck. However, it is difficult to diagnose as differentiating it from other cysts like brachial cysts, lymphangiomas, epidermoid cysts, dermoid cysts, and hydatid cysts, is challenging. In this paper, we systematically reviewed the literature of 47 patients—25 males (53.1%) and 21 females (44.7%)—about their TGDC to assess the clinical picture, therapy, and prognosis of the disease. Most of the patients were children under the age of ten (63.8%). All patients had a history of a painless swelling in the anterior midline of the neck that moved in response to deglutition and tongue protrusion, thus interfering with their daily activity. Post-resection recurrence was unusual, with only 3 of 47 patients (6.4%) experiencing recurrence.
Thyroglossal Duct Cysts – A ten years retrospective review
Eastern Journal of Medicine, 2014
Background : Thyroglossal duct cyst (TDC) is the most common congenital midline anterior neck mass which may present at any age particularly in the pediatric age group. Objective: To review the pre-operative evaluation and the subsequent management in patients diagnosed with TDC. Methods : Medical records of all the patients diagnosed with TDCs from January 2001 till December 2010 were retrospectively reviewed. The patients’ clinical presentations, types of radiological investigation performed, the surgery and the outcome were documented. Results : There were 23 records of patients identified, but only 12 records were included due to incomplete data. They were 7 female and 5 male. The age ranged from 2 to 58 years. Mean age of presentation was 11.8 years. Eighty three percent of patients were in the pediatric age group. Ten cases (83%) presented as a painless neck swelling and a case with discharging cyst (8.3%) and infected cyst (8.3%). Ultrasound of the neck was the most common ra...
Thyroglossal Duct Cyst in a 3-Month-Old Infant: A Rare Case
Turk Otolarengoloji Arsivi/Turkish Archives of Otolaryngology, 2016
Thyroglossal duct cyst (TGDC) is the most common congenital midline neck mass in children. It usually becomes symptomatic following a respiratory tract infection and is usually diagnosed at 5 years of age. Thyroglossal duct cyst is rarely observed in less than 1-year-old infants. In this study, we present a 3-month-old infant with TGDC, who was administered multiple courses of antibiotic therapy for the hyperemic, draining, midline neck mass that had existed since he was 15 days old. Physical examination revealed an infrahyoid midline neck mass measuring 3×3 cm, which moved while swallowing and had a sinus opening in the overlying skin. The patient underwent Sistrunk operation under general anesthesia. Histopathologic examination revealed TGDC. One-year follow-up revealed no recurrence.
Thyroglossal Duct Cyst: A Literature Review
2021
Thyroglossal duct cyst (TDC) develops when the embryonic duct persists after the migration of the thyroid gland, making it possible for it to arise anywhere along the route of the descending thyroid. Approximately 70% of congenital neck masses in children are associated with this cyst. TDC commonly present with an asymptomatic midline neck mass that is painless, movable, soft in consistency and fluctuating, and painful masses can ensue due to infection. Most TDC case are benign with only about 1% case is related to malignancy. Comprehensive history taking and a physical examination are essential for preoperative diagnosis while imaging modalities are useful not only to rule out other differential diagnosis of neck lesion resembling TDCbut also to identify a normal thyroid gland in children. Definitive management of TDC is surgery using the relatively safe Sistrunk procedure. This procedure can reduce the recurrence rate of thyroglossal duct cysts.
Ectopic Thyroid Tissue in the Thyroglossal Cyst Duct: Rare Clinical Entity with Review of Literature
World Journal of Endocrine Surgery, 2013
The ectopic thyroid tissue is a rare developmental abnormality during embryogenesis where the thyroid gland passes from floor of the primitive foregut to its final pretracheal position. Its very important to verify the presence of a normally located normally functioning thyroid gland, thus excluding the possibility of an ectopic thyroid gland which resembles a TDC. A 12-year-old female presented to us with swelling in the midline of the neck region since 1 year. The mass moved with swallowing and protrusion of the tongue. On aspiration biopsy, a colloid material with cyst was confirmed. Imaging showed no orthotopic thyroid tissue on sonography and scintigraphy. No surgical intervention was done and as the patient was hypothyroid, levothyroxine replacement was given and the patient was advised for followup regularly. Hormonal estimation to rule out hypothyroid status and thyroid scintigraphy to detect the ectopic tissue and to see the presence of the normal orthotopic thyroid are ess...