Thyroglossal Duct Cyst—More Than Just an Embryological Remnant (original) (raw)
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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...
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: 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 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: 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.
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.
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...
Clinicopathological Study of Thyroglossal Cyst
Bangladesh Journal of Otorhinolaryngology, 2020
Background: Thyroglossal cyst is a congenital malformation that occurs due to incomplete closure of the thyroglossal duct. Apart from quiescent embryological remnant, it presents clinically as a midline cystic swelling that moves with tongue protrusion; present at any age, often requires surgical excision. Objective: To evaluate the clinical features and treatment outcomes of patients with a thyroglossal duct cyst. Material and methods: This observational study was carried out in the Department of Surgery, Dept. of Otolaryngology, Ibn Sina Medical College, Dhaka, A total 40 cases of both sexes with the age 6-67 years, during the period of 2013 to 2018 (5 years) Results: A total 40 cases of thyroglossal cyst with mean age of 24.37 years were included in study. Of the total 40 cases, 20 (50%) patients were male and 20(50%) were female. Most common clinical presentation was painless midline cystic swelling was the main complaint in 30 patients (75%), followed by dysphagia 5 (12.5%), So...
Thyroglossal duct cyst: An unusual presentation
Ear, nose, & throat journal
Most thyroglossal duct cysts are located at or very close to the midline. They generally manifest as painless neck swellings, and they move on protrusion of the tongue and during deglutition. We describe a case of thyroglossal duct cyst that was unusual in that the cyst was located far from the midline, it did not move on protrusion of the tongue, and it was associated with symptoms of dysphagia and extensive neck swelling that mimicked a colloid goiter.