Double Thyroglossal Duct Cyst Derived from a Single Tract: A Case Series (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...
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 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: Variable presentations
Background: Thyroglossal duct cysts are the most common cause of midline congenital cyst formation in the neck that may present at any age. Classically, it presents as an anterior midline neck swelling that moves with deglutition and protrusion of the tongue. Occasionally, thyroglossal duct cyst presents in atypical manner either clinically or radiologically, which may pose a diagnostic challenge. Objective: The aim of this study is to review cases diagnosed with thyroglossal duct cysts as regards clinical and radiological presentation, focusing on cases with atypical presentation. Patients and methods: The medical records of patients who were diagnosed with thyroglossal duct cysts from January 2004 till October 2007 were retrospectively reviewed. A total of 22 patients were included in the study. They were classified as typical and atypical according to the clinical and radiological presentation. Results: There were 10 males (45.5%) and 12 females (54.5%) with mean age of 17.3 years. The site of the cyst was infrahyoid in 20 cases (91%), suprahyoid in one case (4.5%) and intralingual in one case (4.5%). Clinically, 16 cases (72.7%) showed typical presentation and six cases (27.3%) were atypical in the form of: thyroglossal duct cyst with intralaryngeal extension, intralingual cyst,ruptured cyst with subsequent chronic inflammatory changes within the anterior neck compartment, thyroglossal duct cyst with intracystic solid mass, inferiorly located cyst that was mobile with deglutition but not with tongue protrusion, and thyroglossal duct cyst presenting as lateral neck swelling. Radiologically, T2 weighted magnetic resonance imaging was the only radiological modality that showed a tract extending to the tongue base. Conclusion: Thyroglossal duct cyst should be considered in the differential diagnosis of any anterior neck swelling. T2 weighted magnetic resonance imaging is the most informative radiological modality. It can be used to differentiate cysts with atypical presentation from other neck swellings.
Double cervical cyst derived from a single thyroglossal duct tract
Journal of Pediatric Surgery, 2008
Thyroglossal duct cysts are one of the most common congenital cervical pathologic findings in children. This type of cyst can be located anywhere between the base of the tongue and the sternal manubrium. We report the case of a patient with a double thyroglossal cyst, one located in the hyoid region and the other in the thyroid gland. The 2 cysts were connected by a permeable tract, which confirms that an involution failure of the embryonic remains of the thyroglossal duct was responsible for the development of the cyst. Intrathyroid cysts of the thyroglossal duct, though uncommon, should be included in the differential diagnosis of thyroid cysts in children.
Thyroglossal duct cysts: presentation and management in children versus adults
International Journal of Pediatric Otorhinolaryngology, 2003
Objectives: To determine if the clinical presentation of thyroglossal duct cysts (TGDC) varies between children and adults and whether this knowledge helps optimize the surgical management. Methods: We retrospectively identified all patients with TGDC managed in our department between 1992 and 2002. We reviewed the patients' charts and recorded their gender, age at diagnosis, clinical presentation, radiologic imaging, surgical management, post-operative complications, and recurrence rate and compared the variables between the children and adults. Results: Twenty-one children and 41 adults were treated for TGDC. Of the children, 57% were male and 43% were female, whereas 49% of the adults were male and 51% were female (P = 0.53). The average age was 6 ± 5 years in children and 45 ± 16 years in adults, which demonstrates a bimodal distribution. Forty-three percent of children and 42% of adults presented with an infected neck mass (P > 0.99). Among our patients, 96% of the adults and 100% of the children underwent a Sistrunk operation. Four children developed a wound infection that resolved with antibiotics. One adult developed a haematoma and another developed a wound seroma. There was one recurrence among adults and one among children, both of whom were treated with a second Sistrunk procedure. Conclusions: There appears to be a bimodal distribution for age at presentation of TGDC. Since the differential diagnosis among adults is broader, the opportunity for misdiagnosis is greater. However, once the correct diagnosis is made, the surgical management and post-operative outcome between adults and children is the same. (P.J. Koltai). pathologies, thyroglossal duct cysts (TGDC) are the most common non-odontogenic cysts of the neck and the most common midline neck masses. The exact incidence of TGDC is unclear, but its incidence appears to be equal in both genders and is presumed to be higher in children than adults .
Incidence and outcome of thyroglossal duct cyst
International Journal of Otorhinolaryngology and Head and Neck Surgery, 2020
Background: Thyroglossal duct cyst (TGDC) is the cyst in the cervical midline that arises from the embryonic remnant of the thryroglossal duct. It is most common congenital abnormality in the head and neck region which may present at any age particularly occur in children. The definitive treatment is surgical excision of the cyst and tract.Methods: It is a cohort retrospective study of 26 cases in the Department of Otorhinolaryngology and Head-Neck surgery, Comilla Medical College Hospital, Bangladesh from 01 July 2016 to 31 June 2019. Results: Incidence of TGDC was 0.02% out of total outdoor patient and 0.94% in total indoor routine operation. All patient was operated by Sistrunk’s procedure and recurrent 2 (7.69%) cases were operated by modified or extended Sistrunk’s procedure without complications afterwards. Of them female was 14 (53.85%), male was 12 (46.15%), children were 22 (84.61%), adult were 4 (15.35%). Infrahyoid was 21 (80.76%), surahyoid was 5 (19.24%). The patient p...
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...