1.Thyroglossal cyst of double cyst: one case report.
Yangyang FU ; Cuiping SHE ; Qingfeng ZHANG
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2014;28(5):343-344
A 5 years old boy was referred to our department with complaints of a painless midline neck swelling. Clinical feature: there was a painless swelling above the middle of thyroid cartilage, it was about 2.0 cm x 0.5 cm, and it was soft. And its boundary was clear. The skin temperature is normal. B-mode ultrasound features: there is a cystic mass in the front of the neck, it is about 2.3 cm x 1.0 cm, and be apart from the skin is 0.3 cm. It is showed that another cystic mass behind this one, is about 1.9 cm x 0.7 cm. The borders are clear, and no blood flow signal is detected. The thyroid was not abnormal. Pathology results showed the wall of cyst and there were pectin in the cyst. Diagnosis: thyroglossal cyst of double cyst.
Child, Preschool
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Humans
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Male
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Thyroglossal Cyst
;
pathology
2.Oral foregut cyst in the ventral tongue: a case report.
Eun Jung KWAK ; Young Soo JUNG ; Hyung Sik PARK ; Hwi Dong JUNG
Journal of the Korean Association of Oral and Maxillofacial Surgeons 2014;40(6):313-315
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
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Deglutition
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Dermoid Cyst
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Diagnosis, Differential
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Epithelium
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Head
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Lymphangioma
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Neck
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Pathology
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Ranula
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Thyroglossal Cyst
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Tongue*
3.Clinical analysis of gasless transoral vestibular robotic resection of thyroglossal duct cysts.
Faya LIANG ; Ping HAN ; Peiliang LIN ; Xijun LIN ; Renhui CHEN ; Jingyi WANG ; Xin ZOU ; Xiaoming HUANG
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2023;37(7):524-528
Objective:This study aimed to explore the safety and feasibility of gasless transoral vestibular robotic resection of thyroglossal duct cysts. Methods:The clinical data of patients who underwent gasless transoral vestibular robotic resection of thyroglossal duct cysts at the Department of otolaryngology, Sun Yat-sen Memorial Hospital, Sun yat-sen university from September 2020 to May 2022 were analyzed. The operative time, blood loss, postoperative complications, postoperative pain score, postoperative aesthetic score, and recurrence were prospectively evaluated. Results:All patients completed the operation successfully and no case conversed to an open operation. The operation time was 104.00(95.00, 131.25) minutes, and the surgical blood loss was 15.00(10.00, 16.25) mL. The drainage volume was(59.71±9.20) mL. Postoperative pathology was consistent with thyroglossal duct cysts. There was no local reswelling, subcutaneous hematoma, emphysema, skin flap necrosis, infection and other complications. The postoperative hospital stay was 3.00(2.00, 3.00) days. Six patients had mild sensory abnormalities of the lower lip 3 months after surgery, and all patients were satisfied with the cosmetic outcomes. No recurrence was found during the 5-26 months follow-up. Conclusion:gasless transoral vestibular robotic resection of thyroglossal duct cysts is safe and feasible, with hidden postoperative scars and good cosmetic outcomes. It can provide a new choice for patients with thyroglossal duct cysts.
Humans
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Robotic Surgical Procedures
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Thyroglossal Cyst/pathology*
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Postoperative Complications
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Cicatrix/pathology*
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Pain, Postoperative
5.Papillary carcinoma in a thyroglossal duct remnant: a case report.
Jiao ZHOU ; Qiongling HUANG ; Ming LU ; Shuqiang CHU ; Yizheng ZHANG ; Chaohui ZHENG
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2023;37(6):491-493
This case report has described a case of papillary carcinoma of thyroglossal duct in a young male. This patient was admitted with a mass in the anterior neck for 2 years. Preoperative Bultrasonography, CT and MR showed a subcutaneous cystic mass with irregular calcification shadow in the central region of the neck without obvious enhancement. Initial diagnosis was thyroglossal duct cyst, and was excised by Sistrunk under general anesthesia. The postoperative pathological examination showed thyroglossal duct cyst combined with thyroid papillary carcinoma, which was confirmed by immunohistochemistry as thyroglossal duct papillary carcinoma.
Humans
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Male
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Thyroid Neoplasms/surgery*
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Carcinoma, Papillary/pathology*
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Thyroglossal Cyst/surgery*
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Thyroid Cancer, Papillary
6.Ultrasonographic features differentiating thyroglossal duct cysts from dermoid cysts.
Hyoung In CHOI ; Young Hun CHOI ; Jung Eun CHEON ; Woo Sun KIM ; In One KIM
Ultrasonography 2018;37(1):71-77
PURPOSE: The purpose of this study was to identify ultrasonographic features that can be used to differentiate between thyroglossal duct cysts (TGDCs) and dermoid cysts (DCs). METHODS: We searched surgical pathology reports completed between January 2004 and October 2015 and identified 66 patients with TGDCs or DCs who had undergone preoperative ultrasonography. The ultrasound images were reviewed by two radiologists who were blinded to the pathological diagnosis. They evaluated the following parameters: dimensions, shape, margin, location in relation to the midline, level in relation to the hyoid bone, attachment to the hyoid bone, the depth of the lesion in relation to the strap muscles, internal echogenicity, internal echogenic dots, multilocularity, the presence of a longitudinal extension into the tongue base, posterior acoustic enhancement, the presence of internal septae, and intralesional vascularity. RESULTS: There were 50 TGDCs and 16 DCs. TGDCs were significantly more likely than DCs to have an irregular shape, an ill-defined margin, attachment to the hyoid bone, an intramuscular location, heterogeneous internal echogenicity, multilocularity, and longitudinal extension into the tongue base. CONCLUSION: Ultrasound findings may inform the differential diagnosis between TGDCs and DCs.
Acoustics
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Dermoid Cyst*
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Diagnosis
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Diagnosis, Differential
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Humans
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Hyoid Bone
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Muscles
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Pathology, Surgical
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Pediatrics
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Thyroglossal Cyst*
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Tongue
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Ultrasonography
7.Primary Papillary Carcinoma Arising in a Thyroglossal Duct Cyst.
Young Chae CHU ; Jee Young HAN ; Hye Seung HAN ; Joon Mee KIM ; Soo Kee MIN ; Young Mo KIM
Yonsei Medical Journal 2002;43(3):381-384
We report a case of papillary carcinoma arising in a thyroglossal duct cyst, presenting with an anterior neck mass of a 31-year-old woman. The tumor was judged to be a primary lesion on the basis of intraoperative examination of the thyroid and pathologic findings of the mass. One year later, a small nodular mass in the left thyroid gland and lymph node enlargement of the right cervical lymph node were noted by follow-up imaging studies. Total thyroidectomy, right modified radical neck dissection and central neck dissection were performed. The thyroid gland revealed nodular hyperplasia without evidence of malignancy. On the other hand, the dissected neck lymph nodes revealed metastatic papillary carcinoma. Taken together, these findings suggested the tumor was a primary papillary carcinoma arising in the thyroglossal duct cyst.
Adult
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Carcinoma, Papillary/*complications/*pathology/radiography
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Case Report
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Female
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Human
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Thyroglossal Cyst/*complications/*pathology/radiography
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Thyroid Neoplasms/*complications/*pathology/radiography
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Tomography, X-Ray Computed
8.Primary Papillary Carcinoma Arising in a Thyroglossal Duct Cyst.
Young Chae CHU ; Jee Young HAN ; Hye Seung HAN ; Joon Mee KIM ; Soo Kee MIN ; Young Mo KIM
Yonsei Medical Journal 2002;43(3):381-384
We report a case of papillary carcinoma arising in a thyroglossal duct cyst, presenting with an anterior neck mass of a 31-year-old woman. The tumor was judged to be a primary lesion on the basis of intraoperative examination of the thyroid and pathologic findings of the mass. One year later, a small nodular mass in the left thyroid gland and lymph node enlargement of the right cervical lymph node were noted by follow-up imaging studies. Total thyroidectomy, right modified radical neck dissection and central neck dissection were performed. The thyroid gland revealed nodular hyperplasia without evidence of malignancy. On the other hand, the dissected neck lymph nodes revealed metastatic papillary carcinoma. Taken together, these findings suggested the tumor was a primary papillary carcinoma arising in the thyroglossal duct cyst.
Adult
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Carcinoma, Papillary/*complications/*pathology/radiography
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Case Report
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Female
;
Human
;
Thyroglossal Cyst/*complications/*pathology/radiography
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Thyroid Neoplasms/*complications/*pathology/radiography
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Tomography, X-Ray Computed
9.Functioning thyroglossal cyst and concurrent ectopic thyroid in the floor of the mouth without an orthotopic thyroid gland.
Shruti DHINGRA ; Achal GULATI ; Abhishek BANSAL
Singapore medical journal 2013;54(7):e149-51
We report the case of a 20-year-old man with a constellation of anomalies - a functional thyroglossal cyst and concurrent ectopic thyroid in the floor of the mouth, without an orthotopic thyroid gland. To our knowledge, this is the third such report in the otolaryngology literature. It is important to be aware of the possibility of concurrent ectopic thyroid and thyroglossal cyst in the absence of an orthotopic thyroid gland. The majority of reported cases of thyroid ectopy occur at the base of the tongue. The occurrence of an ectopic thyroid in the floor of the mouth is both unusual and not amenable to clinical examination. Even if there is good uptake on nuclear imaging, the ectopic thyroid may be hypofunctioning. We discuss the importance of thyroid imaging, as well as the need for preoperative imaging and an appropriate management strategy in the treatment of patients with this triad of anomalies.
Contrast Media
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Humans
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Male
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Mouth Floor
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diagnostic imaging
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pathology
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surgery
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Thyroglossal Cyst
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complications
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diagnostic imaging
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surgery
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Thyroid Dysgenesis
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complications
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diagnostic imaging
;
surgery
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Tomography, X-Ray Computed
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Young Adult
10.Thyroglossal duct carcinoma combined with systemic lupus erythematosus: one case report.
Jialin FENG ; Yuling SHEN ; Jiadong WANG
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2015;29(2):181-183
Thyroglossal duct carcinoma is a malignant tumor which occurs in the thyroglossal duct cyst. The incidence of thyroglossal duct carcinoma has been reported as approximately 1%. Up to now, just about 250 cases of thyroglossal duct carcinoma have been reported in the literature,most of which are single case reports and small case series. In most cases, the diagnosis of the thyroglossal duct carcinoma is not made until the histologic examination after surgery operation. The preoperative examination such as CT or fine needle aspiration cytology can help the preoperative diagnosis. But the surgical treatment for the thyroglossal duct carcinoma is still controversial. Now we report a case of a thyroglossal duct carcinoma combined with systemic lupus erythematosus. The patient herself found an anterior neck mass in the median submental region one year ago. The preoperative CT examination suggested thyroglossal duct cyst with pouch canceration(papillary carcinoma). Then she underwent a Sistrunk procedure and level I neck dissection, and the histopathological diagnosis was thyroglossal duct carcinoma. The patient was treated with levothyroxine therapy at suppressive dose after the surgery. Now the patient is at regular follow-up with no relapse occur.
Biopsy, Fine-Needle
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Carcinoma, Papillary
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complications
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diagnosis
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pathology
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Female
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Humans
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Lupus Erythematosus, Systemic
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complications
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diagnosis
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pathology
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Neck Dissection
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Skin
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Thyroglossal Cyst
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complications
;
diagnosis
;
pathology
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Thyroid Neoplasms
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complications
;
diagnosis
;
pathology