ABSTRACT
We report a case of an eight year old female child with a midline neck mass for seven years. Since its early presentation, this midline mass has recently increased in size. A presumptive diagnosis of thyroglossal duct cyst was made clinically and planned for surgery. Preoperative evaluation revealed hypothyroidism, hence she was referred to us for the management of the same prior to excision. On further evaluation 99 Tc-thyroid scan showed that this midline mass was in fact the only functioning thyroid tissue and ultrasonography revealed no thyroid tissue in usual location, therefore no surgery was performed. This case demonstrates the essential role of a thyroid scan and ultrasonography in the preoperative evaluation of a midline neck mass.
Subject(s)
Thyroglossal Cyst/diagnosis , Thyroid Dysgenesis/diagnosis , Child , Female , Humans , Radionuclide Imaging , Thyroglossal Cyst/diagnostic imaging , Thyroglossal Cyst/pathology , Thyroid Dysgenesis/diagnostic imaging , Thyroid Dysgenesis/pathology , UltrasonographyABSTRACT
Rathke's cleft cyst (RCC) are benign, epithelium-lined sellar and suprasellar cysts believed to originate from remnants of the Rathke pouch. Here, we report a rare case of entirely suprasellar RCC in a 4.5-year-old child causing hypopituitarism, who presented to us with bilateral cryptorchidism. Subsequently we discuss the distinct rarity of entirely suprasellar RCC presenting in this fashion and the relevant literature is also discussed.
