Gasless submental approach endoscopic removal of thyroglossal cyst / 中华耳鼻咽喉头颈外科杂志

Objective: To explore the safety and feasibility of gasless submental approach endoscopic removal of thyroglossal cyst. Methods: This work prospectively included the clinical data of 13 patients who underwent the gasless submental approach endoscopic removal of thyroglossal cyst at the Department of Otolaryngology, the First Affiliated Hospital of Chongqing Medical University from August 2021 to February 2022. The operative time, bleeding volumes, postoperative complications, subjective pain levels, satisfaction with incisional scars, neck and facial deformities, and recurrences were prospectively evaluated by visual analogue scale(VAS) score. Results: All of 13 patients were successfully treated using this new technique. The patients had a median age of 38 years, ranging from 24 to 59 years, comprising of 3 males and 10 females. The length of the submental incision was about 3 cm and the median of operation time was 135 minutes. Postoperative complications were minimal. The median volume of blood loss was 10 ml. Surgical site swelling existed in 1 case and dysphagia for more than 1 week occurred in 2 cases. Patients were discharged from the hospital with a median of 3 days after surgery. On a VAS of 0-10 scores, the pain had a median of 2 on the first day after surgery, and the satisfaction with incision scars and neck and facial deformities showed a median of 8 at 6 months after surgery. There were no recurrences during the follow-up period of 9-15 months. Conclusion: Gasless submental approach endoscopic removal of thyroglossal cyst may be a reliable new surgical method that is safe and has cosmetic advantages.

Papillary Thyroid Carcinoma within Thyroglossal Duct Cyst: Case Series and Literature Review

Abstract Introduction Thyroglossal duct cyst (TGDC) is themost common congenital anomaly of the neck, and approximately 7% of all the adult population presents it. Ectopic thyroid tissue is found in the thyroglossal duct cyst wall in up to 65% of cases. This thyroid tissue has the potential to develop some type ofmalignancy, themost common of which is the papillary carcinoma of the thyroid. There are just over 270 cases of thyroglossal duct cyst malignancy reported in the literature. Objectives We aimed to study our population of patients in order to identify cases with thyroglossal duct cyst malignancy. Methods A retrospective chart review was conducted in the section of otolaryngology/ head and neck surgery at a hospital in Karachi, Pakistan, from January of 2004 to December of 2014 on patients with the diagnosis of thyroglossal duct cyst. Results Fifty-eight patients were diagnosed with TGDC, two of whom also presented with thyroglossal duct cyst carcinoma. Both patients revealed papillary thyroid carcinoma on histopathology. Case 1 had an open biopsy before undergoing definitive surgery. Both patients underwent subsequent total thyroidectomy after Sistrunk procedure, and case 2 had selective neck dissection revealing lymph node metastasis. Conclusion Thyroglossal duct cyst carcinoma is a rare finding that comes as a surprise to both the patient and the surgeon. We report 2 out of 58 cases diagnosed with thyroglossal duct cyst carcinoma.

Localización atípica del quiste tirogloso / Atypical location of thyroglossal duct cyst / Localização atípica do quisto tireoglosso

El quiste tirogloso es una malformación congénita asociada a la falta de involución del conducto tirogloso, ubicado entre el foramen de la lengua y la glándula tiroides. Su incidencia predomina en la infancia, aunque también se puede presentar en la adultez. Es común que la presencia de infecciones de las vías aéreas superiores o el desarrollo de fístulas hagan parte del cuadro clínico del paciente y se evidencie una masa. Se reporta el caso de un paciente de sexo masculino de 39 años de edad, que cursó con una lesión nodular corres- pondiente a un quiste tirogloso con apariencia de tejido tiroideo residual, de localización atípica en la línea media suprahiodea, que fue removido quirúrgicamente. Dada su ubicación, se requirió la pertinente planeación imaginoló- gica y prequirúrgica para la valoración de la glándula tiroides con el fin de resecar toda la lesión, usando la técnica de Sistrunk con remoción total del hueso hioides para evitar la recurrencia. Se discuten las características clínico-patoló- gicas de la enfermedad y se establece la importancia de la ubicación para la toma adecuada de decisiones clínicas o quirúrgicas que permitan brindar un tratamiento con un resultado seguro y eficaz para el paciente.

The thyroglossal cyst is a congenital abnormality resulting from a defective closing of the duct located between the foramen of the tongue and the thyroid gland. Its incidence predominates in childhood, although it can also occur in adulthood. It is common that the presences of upper airway infections or fistulas become a part of the patient’s clinical signs and as the mass becomes apparent. This report corresponds to a case of a 39 year old male patient with a nodular lesion. A thyroglossal cyst with an atypical location in the midline superior part of the hyoid bone was diagnosed, which was surgically removed. Because of its location careful imaging and presurgical planning was required for thyroid gland assessment. The Sistrunk technique was performed removing the hyoid bone completely to prevent recurrence. Clinico-patholo- gical features of the disease are discussed, the importance of the location for surgical considerations to provide the best outcome for the patient.

O quisto tireoglosso é uma malformação congénita asso-ciada à falta de involução do conduto tireoglosso localizado entre o ovale da língua e a glândula tiroides. Sua incidência predomina na infância, embora também possa se apre-sentar nos adultos, sendo comum na clínica do paciente a presença de infeções aéreas superiores ou a frequente presença de fístulas sendo evidenciada uma massa.No presente artigo se faz o reporte correspondente a um paciente masculino com 39 anos de idade, que apresentou uma lesão nodular convergente a um quisto tireoglosso com aparência de tecido tiroide residual, de localização atípica na linha media supra-hioideus, remo-vido cirurgicamente. Devido a sua locação foi preciso planejamento imagenológico para valoração da glândula tiroides, visando ressecar a totalidade da lesão mediante a técnica de Sistrunk, com remoção total do osso hioideus para evitar recorrência. O artigo discute as caracterís-ticas clinico patológicas desta doença e se estabelece que a adequada tomada de decisões clinicas e cirúrgicas depende em grande medida da locação da lesão.

Thyroglossal duct cyst: a descriptive study of 41 cases

To describe the clinical presentations and site distribution of the thyroglossal duct cyst. This descriptive study was conducted at the Department of ENT District Headquarter Hospital Timergara from May 2001 to December 2007. The various presentations and management options were observed and documented using a semi structured proforma. Complications or recurrences, if any, were noted. A total of 41 cases of thyroglossal duct cyst with a mean age of 16. 7 +/- 17.49 years were included in the study. There were nineteen female and twenty two male patients. There were 9 recurrent and 32 cases. Forty patients presented with midline cystic swelling that moved with protrusion of tongue, seven with sore throat, 4 with dysphagia and 3 with globus. Forty [97.57] cases were central [9 [21.97%] suprahyoid and 31 [75.60%] infrahyoid] and 01 [2.43%] presented with cystic swelling on left side of the. neck All the cases were subjected to sistrunk operation. The most common presentation of thyroglossal duct cyst is a midline cystic swelling that moves with tongue protrusion. Thyroglossal duct cyst is present centrally in most of the cases

Primary Papillary Carcinoma Arising in a Thyroglossal Duct Cyst

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.

Primary Papillary Carcinoma Arising in a Thyroglossal Duct Cyst

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.

Quiste del conducto tirogloso: caso clínico

Se relata el caso de un paciente de 4 años, quien desde los 3 años presentó una masa en la región cervical de crecimiento progresivo. Hace 9 meses presentó tos, disfonía, disfagia e hipopirexia, manifestaciones que se exacerbaron en los últimos 3 meses. Previa la consulta alza térmica (38,5ïC), tos no productiva, odinodisfagia y adinamia; al examen físico orofaringe congestiva, amígdalas hipertróficas, masa renitente de 3x2x3 cm ubicada a nivel de la línea media en la región cervical anterior, no dolorosa a la palpación y no adherida a planos profundos; además adenomegalia cervical de la cadena superior. En los exámenes complementarios y de imagen, la ultrasonografía cervical demostró la presencia de una masa quística...

Primary papillary carcinoma in a thyroglossal duct cyst.

A rare case of primary thyroid papillary carcinoma arising in a thyroglossal duct cyst occuring in a 46 year old man is reported. The diagnosis was not suspected preoperatively. On gross examination of the excised specimen the presence of a papillary tumour in the cystic mass suggested the diagnosis which was proved histopathologically. The thyroid gland was normal on physical examination and scintigram thus ruling out the possibility of metastasis from a primary tumour in the thyroid gland.

Cistos do ducto do tiroglosso com carcinoma papilífero numa índia Txukahamäe / Thyroglossal duct cyst with papillary carcinoma in a Txukahamae indian

Relatamos a ocorrência de cistos do ducto do tiroglosso com carcinoma papilífero numa india Txukahamäe do Parque Nacional do Xingu. A punçäo aspirativa com agulha fina do cisto do ducto do tiroglosso possibilitou o diagnóstico pré-cirúrgico do carcinoma. O exame anatomopatológico do conjunto extraído confirmou cistos do ducto do tiroglosso e carcinoma papilífero.