Humans ; Thyroglossal Cyst ; diagnosis ; therapy

Hoarseness ; diagnosis ; etiology ; Humans ; Thyroglossal Cyst ; complications ; diagnosis

Parathyroid cysts are an uncommon cause of neck masses, which are rarely suspected before surgery. Although several theories of their origin have been proposed, none has been proven satisfactorily to the exclusion of the others. We experienced a 33-year-old euthyroid woman presenting with a mass on the jugular notch. She complained of throat discomfort. An ultrasound of the mass in the neek suggested a thyroglossal duct cyst. Treatment consisted of a neck exploration and the removal of a 4x3x3 cm cystic mass. The cystic mass contained a clear fluid with a high level of parathyroid hormones in excess of 11.4 ng/ml. The pathological diagnosis revealed a benign parathyroid cyst. This report reviews current knowledge of parathyroid cysts as well as the relevant literature.
Adult ; Diagnosis ; Female ; Humans ; Neck ; Pharynx ; Thyroglossal Cyst ; Ultrasonography

An oral foregut cyst is a rare congenital choristoma lined by the respiratory and/or gastrointestinal epithelium. The exact etiology has not been fully identified, but it is thought to arise from misplaced primitive foregut. This lesion develops asymptomatically but sometimes causes difficulty in swallowing and pronunciation depending on its size. Thus, the first choice of treatment is surgical excision. Surgeons associated with head and neck pathology should include the oral foregut cyst in the differential diagnosis for ranula, dermoid cyst, thyroglossal duct cyst and lymphangioma in cases of pediatric head and neck lesions.
Choristoma ; Deglutition ; Dermoid Cyst ; Diagnosis, Differential ; Epithelium ; Head ; Lymphangioma ; Neck ; Pathology ; Ranula ; Thyroglossal Cyst ; Tongue*

Congenital anomalies in the head and neck region such as preauricular sinus and skin tag, thyroglossal duct cyst, branchial anomaly, cystic hygroma and dermoid cyst are common in pediatric population. It is important for pediatricians and pediatric surgeons to be familiar with the embryology and the anatomical characterics of these lesions in order to diagnose and treat properly. Three hundred nineteen patients with congenital head and neck anomalies treated at Hanyang University Hospital between 1980 and 1999 were reviewed to determine the relative frequency of the anomalies and to analyze the method of management. Eight-four patients(25.1%) of 335 lesions had preauricular sinus and skin tag, 81 patients(24.2%) had thyroglossal duct cyst, 81 patients(24.2%) had branchial anomaly, 58 patients(17.3%) had cystic hygroma, 31 patients(9.2%) had dermoid cyst. The male-to-female ratio was 1.4:1. The thyroglossal duct cyst was most commonly present at 3-5years, however branchial anomaly was commonly diagnosed in children younger than 1 year. Preauricular sinus shoeed familial tendency in three patients and bilaterality is 33.8%. Most head and neck anomalies in children had clinical and anatomical characterics. A careful history and physical examination were very useful for diagnosis and proper management. The initial surgery should be done by experienced pediatric surgeonsl since the recurrence rate after incomplete surgical excision could be high.
Child* ; Dermoid Cyst ; Diagnosis ; Embryology ; Head* ; Humans ; Lymphangioma, Cystic ; Neck* ; Physical Examination ; Recurrence ; Skin ; Thyroglossal Cyst

Carcinoma ; diagnosis ; Carcinoma, Papillary ; Diagnostic Errors ; Female ; Humans ; Thyroglossal Cyst ; diagnosis ; Thyroid Neoplasms ; diagnosis ; Young Adult

OBJECTIVETo distinguish lingual thyroglossal duct cyst (LTDC) from laryngomalacia in newborn infants.

METHODSData of 10 newborn infants with laryngeal stridor and dyspnea, admitted to the department of neonatology in our hospital during December, 2004 to August, 2007, who were finally diagnosed with LTDC though previously diagnosed as congenital laryngeal stridor in other hospitals, were summarized and analyzed.

RESULTSInspiratory stridor with chest wall retractions was cardinal symptom of newborn with LTDC. A slightly gray and round cyst with smooth surface at the base of the tongue was found with laryngoscopy. On computed tomography examination of larynx, a well-circumscribed lesion with low intensity was detected at the base of the tongue protruding into the air passage. Pathological examination demonstrated that the cyst wall was composed of tabular and columnar epithelium.

CONCLUSIONSLTDC is a common disease in newborns, which is similar to laryngomalacia. For neonates suspected of LTDC, laryngoscopic examination should be performed first, while laryngeal CT scan is an important diagnostic basis. Cyst puncture can ameliorate the symptoms of the patients, while surgical removal is the method of radical cure.

Thyroglossal duct cyst and fistula is one of the most common birth defects. Thyroglossal duct carcinoma occurred in residual thyroglossal tube or thyroglossal duct cyst is a rare disease which is often difficult to diagnosis by clinical examination, and the prognosis by surgical removal is good. We present a 29-year-old female with thyroglossal duct cyst. In our case, the patient underwent thyroglossal duct cysts dissection without systemic preoperative examination for thyroid. Histologic analysis after a Sistrunk procedure revealed a small focus of papillary carcinoma within the TGDC. The patient has been followed up for 1 years without any metastasis.
Adult ; Carcinoma, Papillary ; diagnosis ; Dissection ; Female ; Humans ; Prognosis ; Thyroglossal Cyst ; surgery ; Thyroid Neoplasms ; diagnosis

PURPOSE: Cervical masses are frequently occurred in children. They are most often associated with nonspecific infection. However, they may be presented as congenital abnormalities. Therefore, accurate history taking, physical examination and appropriate diagnostic procedure are absolutely required for the differential diagnosis of neck mass in children. METHODS: To elucidate the clinical characteristics of cervical mass which may help for establishing a correct diagnosis, the clinical records including pathologic findings from the biopsied specimen of twenty-eight children under seventeen years of age who were hospitalized with complain of persistently palpable neck mass were completely reviewed. RESULTS: Pathologic classification of the cervical mass was as follows : 15(53.6%) thyroglossal duct cyst, 7(25.0%) branchial cleft cyst, 5(17.9%) cystic hygroma and 1(3.6%) bronchogenic cyst. Asymptomatic mass was the most common presentation(67.8%). Twenty-six (92.8%) lesions were solitary and 2(7.1%) branchial cleft cyst were multiple. All thyroglossal duct cyst presented as a solitary mass and involved the midline of the neck. Branchial cleft cysts were located around sternocleidomastoid muscle, and multiple branchial cleft cyst located bilaterally in submandibular area. CONCLUSIONS: The accurate medical history, physical examination, and additional pathologic findings are the most important for the diagnosis of congenital neck mass in children.
Biopsy ; Branchioma ; Bronchogenic Cyst ; Child* ; Classification ; Congenital Abnormalities ; Diagnosis ; Diagnosis, Differential* ; Humans ; Infant* ; Lymphangioma, Cystic ; Neck ; Physical Examination ; Thyroglossal Cyst

A bronchogenic cyst is an abnormality of pulmonary differentiation, usually detected in pediatric patients. The location of bronchogenic cysts in the midline of anterior neck has been described, but it is known to be quite rare. A case of a 6-year-old male with a palpable mass in the anterior neck is presented. The patient was admitted with a complaint of a 2 X 2 cm sized, soft, non-tender mass in the anterior neck. The clinical impression was that of a thyroglossal duct cyst ; however, the histopathologic diagnosis of a bronchogenic cyst was made on the surgical specimen, Following surgical treatments, the recovery was uneventful. Since masses of the head and neck may encompass a variety of histopathologic diagnoses, it is important to include bronchogenic cysts in differential diagnoses for infants and children.
Bronchogenic Cyst* ; Child ; Congenital, Hereditary, and Neonatal Diseases and Abnormalities ; Diagnosis ; Diagnosis, Differential ; Head ; Humans ; Infant ; Male ; Neck* ; Thyroglossal Cyst