Fernando Jerkovich, Leonardo Rizzo, Juan E Fanti, María F Fanti, Fabián Pitoia
There are numerous reports of incidental findings of thyroglossal duct remnants (TGDR) after total thyroidectomy, but its implication on the outcome of patients with differentiated thyroid cancer (DTC) is unknown. The aim of this study was to determine the frequency of TGDR detected by ultrasonography after total thyroidectomy in patients with DTC and to evaluate the impact of this finding on the response to treatment. A total of 377 records of patients with DTC who received total thyroidectomy between January 1994 and January 2017 were reviewed...
2020: Medicina
Iwona Bulzacka, Jacek Makarewicz
PURPOSE: Evaluation of utility of cervical ultrasound (US) for detection of thyroid remnants (ThR) in patients after thyroidectomy for differentiated thyroid cancer. METHODS: Included were 154 consecutive patients (17-89 years, 123 female and 31 male patients), without known cancer residues or cervical lymph nodes metastases, admitted for ThR ablation with I, 14 to 20 weeks after surgery. Neck uptake of I (Tup) and thyroglobulin were determined, and location and volume of ThR detected by cervical US were recorded...
September 21, 2020: Clinical Nuclear Medicine
Douglas R Johnston, Sarah E Maurrasse, John Maddalozzo
No abstract text is available yet for this article.
September 21, 2020: Laryngoscope
Jennifer Foti, Felipe Grimaldo
INTRODUCTION: A thyroglossal duct cyst (TGDC) is a congenital malformation in the neck. Surgical management is often recommended due to risk of recurrent infections and rare possibility of malignancy. CASE REPORT: Herein, we describe the case of an adult presenting with tender neck mass and fever. She had a history of previous surgical excision of her TGDC as a child. On evaluation she was found to have a recurrent TGDC complicated by acute infection via computed tomography imaging...
August 2020: Clinical Practice and Cases in Emergency Medicine
Andrea Barbieri, Manju L Prasad, Syed M Gilani
The presence of thyroid tissue outside of the thyroid gland may occur in various clinical settings and anatomic locations and includes both benign and malignant differential diagnoses. Some of these entities include thyroglossal duct cyst, lingual thyroid, parasitic nodule, thyroid tissue within a lymph node and struma ovarii. In routine daily practice, these entities do pose diagnostic challenges for the pathologists. Differential diagnostic considerations depend largely on the location of lesion and the histologic features...
August 15, 2020: Annals of Diagnostic Pathology
Haili Lv, Mingxia Zhang, Lianjie Cao, Pu Li, Zhenlin Wang
No abstract text is available yet for this article.
August 2020: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
Pingfan Liu, Zongtong Ling, Zhongjie Yang, Ling Shen
Objective: To investigate the efficacy, complications and recurrence rate of thyroglossal duct cyst resection with hyoid preservation in children. Method: Fifty-four children with thyroglossal duct cyst underwent cervical color Doppler ultrasound, CT and/or MRI before operation to make a definite diagnosis.Hyoid-preserving thyroglossal cyst resection was performed in all children.In 51 cases, the cyst wall was close to the hyoid bone, and the thin layer of the hyoid bone surface was removed, while the other 3 cases had no definite association with hyoid bone, only cysts and branches were resected...
June 2020: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
Philip George, Suresh Mani, Ramesh Babu Telugu, Rajiv Charles Michael
Carcinoma arising in a thyroglossal cyst is rare. We present a case of anterior neck swelling diagnosed to be thyroglossal cyst clinically which turns out to be a papillary carcinoma arising in thyroglossal cyst. She underwent sistrunk procedure with total thyroidectomy and diseasefree on follow up evaluation. Even though preoperative ultrasonography had shown thyroid nodule, the final histology did not show malignancy. There is a paucity of clear-cut guidelines in the management of the thyroid gland in a thyroglossal cyst carcinoma...
July 31, 2020: JNMA; Journal of the Nepal Medical Association
Asma A Alahmadi, Osama A Bawazir, Mohannad K Rajab, Ibtihal A Althobaiti, Abdullah O Bawazir, Firas R Abi Sheffah, Anas H Al-Tammas, Osama A Marglani, John C Heaphy, Ameen Z Alherabi
To present experiences of different specialties in the treatment of thyroglossal duct cysts (TGDCs) and subsequent complications in multiple centers.  Methods: A retrospective cross-sectional study of all cases of TGDC for a period of 11 years from 2008-2019 by different departments from 3 different centers in Jeddah, Kingdom of Saudi Arabia (King Faisal Specialist Hospital and Research Centre, Bakhsh Hospital and International Medical Center). Results: Forty-nine patients were included. The type of surgery performed plays a significant role in recurrence (p less than 0...
August 2020: Saudi Medical Journal
Oğuzhan Şal, Mehmet Ali Özen, Önder Peker, Egemen Eroğlu
BACKGROUND: Neuroglial choristomas are rare entities that are composed of differentiated neuroectodermal cells presenting where they do not belong. CASE: Here in this paper, we represent a two-year old patient with a very rare presentation of neuroglial choristoma which manifested itself within a thyroglossal duct cyst. In this paper we will also discuss pathogenesis, clinical manifestation, differential diagnosis and management of the neuroglial choristomas. CONCLUSION: In conclusion we believe this unique case may aid in understanding the pathophysiology, differential diagnosis, and management of this rare congenital anomaly...
2020: Turkish Journal of Pediatrics
Waleed Mahmoud, Walid El Ansari, Abdelrahman Abdelaal, Mahir Petkar, Mohamed S Al Hassan
INTRODUCTION: Malignancy of thyroglossal duct cyst (TGDC) is rare, usually as papillary carcinoma, and less frequently as squamous cell or follicular carcinoma. TGDC carcinoma can present as a mass arising from the neck, with or without compression symptoms. Papillary carcinoma in TGDC concomitant with another papillary carcinoma in the thyroid gland is extremely rare. PRESENTATION OF CASE: 31 years old female with a neck lump since 2 years, slowly increasing in size, with mild pain while drinking fluids, and no change of voice...
July 17, 2020: International Journal of Surgery Case Reports
Q W Dou, X F Tian
Objective: To explore and analyse the imaging examinations, clinical presentation, operative methods complication and the surgical outcomes of lingual thyroglossal duct cyst (LTGDC) . Methods: The clinical data of 30 patients with LTGDC were analyzed retrospectively from January 2015 to October 2018 at the First Affiliated Hospital of Zhengzhou University. Results: 30 cases were treated with endoscopic coblation cauterization firstly. Follow-up for 7.5-45.0(25.4) months showed that 25 cases had no recurrence, 2 cases had no connection, 2 cases had recurrence once, and 1 cases had recurrence twice,the recurrence rate was 10...
July 7, 2020: Zhonghua Er Bi Yan Hou Tou Jing Wai Ke za Zhi, Chinese Journal of Otorhinolaryngology Head and Neck Surgery
Jeffrey A Koempel, Jennifer Brooks, Mikel H Snow, Beth Osterbauer, Erick Garcia, Ramzi Bawab, Jared Shows, David Parham
OBJECTIVES: Persistent or recurrent disease following excision of a thyroglossal duct cyst/sinus (TGDC) is often found in the suprahyoid region. Cadaver dissections were performed to identify and name important surgical landmarks in the suprahyoid area; a histopathologic analysis of surgical specimens was completed to determine the incidence and extent of microscopic disease; and clinical outcomes were compared to determine the efficacy of a specific anatomic dissection. STUDY DESIGN: Retrospective case series...
July 15, 2020: Laryngoscope
Roger W Byard
A 61-year-old man died suddenly after a brief history of shortness of breath and hemoptysis. At autopsy he had lobar pneumonia involving the right upper and left lower lobes of the lung. Significantly there was also a 30 × 20 mm (in cross-section) thyroglossal duct cyst compressing the upper airway. Death was attributed to respiratory failure due to the combined effects of lobar pneumonia (cultures positive for Streptococcus pneumoniae) and airway narrowing from a thyroglossal duct cyst. Although such cysts are usually found in childhood they may on occasion be diagnosed in adults...
July 4, 2020: Forensic Science, Medicine, and Pathology
Aaron Karal, Joël Capraro, F Metternich, Martin Müller
A 34-year-old female patient presented to our department with a 1.5 cm midline cystic lesion of the neck. A second cystic mass was found in level 2 of the left lateral neck. Following complete resection, histopathological examination revealed the diagnosis of a dystopic papillary thyroid carcinoma. Total thyroidectomy and bilateral neck dissection were performed. The patient developed transient postoperative hypoparathyroidism. The specimen showed four intraparenchymal parathyroid glands. Treatment with radioactive iodine was conducted...
July 3, 2020: HNO
Marisa A Ryan, Jonathon O Russell, Desi P Schoo, Patrick A Upchurch, Jonathan M Walsh
OBJECTIVE: Thyroglossal duct cysts (TGDCs) are relatively common congenital midline neck masses that are treated with surgical excision. Traditionally these are removed along with any associated tract and the central portion of the hyoid bone through an anterior neck incision. Some patients with TGDCs want to avoid an external neck scar. METHODS: We describe the details of a transoral endoscopic vestibular excision of a TGDC and the associated hyoid bone in an adolescent patient...
June 19, 2020: Annals of Otology, Rhinology, and Laryngology
K N Rattan, Vijay Kumar Kalra, Samar Pal Singh Yadav, Aarushi Vashist, Swati Vashisth
Seventy one patients (43 children and 28 adults) of thyroglossal duct remnants (TGDRs) presented at a tertiary care institute from January 2001 to September 2017 were retrospectively analysed. The mean age of presentation was 7.15 years in children and 26.85 years in adults. The male to female ratio was 1.9:1 among children and 1.8:1 among adults. The most common presentation in children was a thyroglossal fistula (53.48%) whereas it was a painless cystic neck swelling (89.29%) in adults. All the children underwent a Sistrunk's operation whereas 78...
June 2020: Indian Journal of Otolaryngology and Head and Neck Surgery
Ming-Shao Tsai, Geng-He Chang, Huei-Chieh Chuang, Wan-Ni Lin, Yao-Te Tsai
RATIONALE: Thyroglossal duct cyst (TGDC), the most common midline neck mass, has several histological diagnoses other than cyst in the literature. We present the first case of thyroglossal duct lipoma. PATIENT CONCERNS: A 63-year-old woman presented with a painless soft midline neck mass for more than 3 years, which enlarged in size and caused a lump sensation during swallowing. DIAGNOSES: Sonography revealed a 3.5 × 3.0 × 3.0-cm homogenous isoechoic oval lesion without an acoustic shadow beyond the thyroid glands...
May 29, 2020: Medicine (Baltimore)
Marco Puccini, Nicolò Roffi, Valentina Pucci, Giacomo Fiacchini, Clara Ugolini, Piero Buccianti
Squamous cell carcinoma and papillary thyroid carcinoma simultaneously spreading from the thyroglossal duct remnant (TGDR) is a very rare event. The recognition of this condition allows a correct management and treatment, offering the best chances of cure to the patient. We describe the case of a 42-year-old woman who noticed a right-sided lump in her neck. An ultrasound scan confirmed multiple clusters of enlarged lymph nodes on the right side associated to a pre-hyoidal solid nodule. The thyroid gland was normal...
2020: SAGE Open Medical Case Reports
Timothy Beale, Victoria M Twigg, Mariana Horta, Simon Morley
Although US is one of the most used modalities for head and neck imaging, its use in the diagnosis of laryngeal abnormalities is much less widespread. The standard assessment of laryngeal abnormalities currently involves direct laryngoscopy and cross-sectional imaging (either CT or MRI) but rarely US. US is readily available, noninvasive, and radiation free, and it allows real-time imaging (with video for dynamic assessment), higher resolution than that of cross-sectional imaging, and the performance of targeted fine needle aspiration cytology or biopsy...
May 2020: Radiographics: a Review Publication of the Radiological Society of North America, Inc
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