RESUMO
Antecedentes: el carcinoma diferenciado de tiroides en quiste tirogloso (CaQT) es una entidad rara. La incidencia de CaQT es de 1 a 2%. Usualmente su forma de presentación clínica es indistinguible de una lesión benigna y el diagnóstico definitivo es postquirúrgico. No hay en la actualidad un consenso sobre la indicación de tiroidectomía total, radioablación con iodo y/o terapia supresiva con levotiroxina luego de ser extirpado quirúrgicamente...
Introduction: the development of well -differentiated thyroid carcinoma in thyroglossal duct cysts (TGDCa) is uncommon. The incidence of TGDCa lies within 1 to 2%. Usually the clinical appearance is indistinguishable from a benign thyroglossal duct cyst. The definitive diagnosis is post-operative. After the surgery of choice, the other alternative treatments such as thyroidectomy, radioiodine and L-T4 therapy are controversial...
Antecedentes: o carcinoma diferenciado de tireoide em cisto tirogloso (CaQT) é uma entidade rara. A incidência de CaQT é de 1 a 2 por cento. Em geral, a sua forma de apresentação clínica é indistinguível de uma lesão benigna e o diagnóstico definitivo é pós-cirúrgico. Não existe atualmente um consenso sobre a indicação de tiroidectomia total, radioablação com iodo e/ou terapia supressiva com levotiroxina após ser extirpado cirurgicamente...
Assuntos
Masculino , Feminino , Humanos , Adolescente , Adulto , Criança , Adulto Jovem , Pessoa de Meia-Idade , Carcinoma Papilar/diagnóstico , Carcinoma Papilar/terapia , Cisto Tireoglosso/diagnóstico , Cisto Tireoglosso/terapia , Algoritmos , ConsensoRESUMO
The thyroglossal duct cyst results from a failure in obliterating the embryonic duct produced during thyroid migration and it represents the most common type of developmental cyst encountered in the neck region. Ectopic thyroid tissue neoplasia is rare, and it is even rarer when associated with the thyroglossal duct cyst. To study the clinical behavior, distribution and treatment of thyroglossal cyst and fistula. A prospective study carried out during the period 2002-2011, in the otolaryngology departments of Al Diwaniyah Teaching Hospital and Gazi Hariri Hospital, 72 patients suffering from thyroglossal cyst and sinuses were diagnosed and treated [60 cysts and 12 sinuses]. The data were collected on the basis of history, physical examination, investigations, management and follow up. A seventy two patients complaining from thyroglossal duct cyst and sinuses were diagnosed and treated. 45 male [62.5%] and 27 female [37.5%]. The commonest age of presentation is the second decade, 33 patients [46%]. The most common clinical presentation of thyroglossal duct cyst is a midline neck mass and a midline anterior neck discharging opening in cases of thyroglossal sinuses. The thyrohyoid region is the most common location of both thyroglossal cysts and sinuses. The histological diagnosis in all the cases was benign [100%]. All the patients were managed by Sistrunk s operation. The recurrence was seen in only one patient [1.3%]. The incidence of carcinoma in the cysts or sinuses was 0.0%. Thyroglossal cysts and sinuses are quite prevalent. Thyroglossal cyst usually appears as a midline swelling in the prehyoid region of the neck. The etiology of thyroglossal sinuses in this study is mostly iatrogenic which means more awareness is required about diagnosis and proper management of thyroglossal cyst. The standard surgical approach is Sistrunk operation for both thyroglossal cyst and sinuses with low recurrence rate
Assuntos
Humanos , Masculino , Feminino , Cisto Tireoglosso/terapia , Fístula , Estudos Prospectivos , Gerenciamento ClínicoRESUMO
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...