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Insights Into Imaging Feb 2019Congenital anterior neck masses comprise a rare group of lesions typically diagnosed in childhood. Most commonly, lesions are anomalies of the thyroglossal duct, namely... (Review)
Review
Congenital anterior neck masses comprise a rare group of lesions typically diagnosed in childhood. Most commonly, lesions are anomalies of the thyroglossal duct, namely the thyroglossal duct cyst, along with ectopic thyroid tissue. Although usually suspected based on clinical examination, imaging can confirm the diagnosis, assess the extent, and evaluate for associated complications. Imaging characteristics on ultrasound, CT, and MRI may at times be equivocal; differential considerations include branchial cleft cyst, dermoid/epidermoid, laryngocele, thymic cyst, lymphatic malformation, and metastatic disease. Thus, understanding of the embryologic course of thyroid development is crucial with recognition of critical landmarks such as the foramen cecum, hyoid bone, thyroid cartilage, and strap musculature to aid in the diagnosis of an anterior neck mass.
PubMed: 30725193
DOI: 10.1186/s13244-019-0694-x -
Diseases (Basel, Switzerland) Jan 2022A thyroglossal duct cyst (TGDC) is one of the most commonly encountered congenital anomalies of the neck. However, it is difficult to diagnose as differentiating it from... (Review)
Review
A thyroglossal duct cyst (TGDC) is one of the most commonly encountered congenital anomalies of the neck. However, it is difficult to diagnose as differentiating it from other cysts like brachial cysts, lymphangiomas, epidermoid cysts, dermoid cysts, and hydatid cysts, is challenging. In this paper, we systematically reviewed the literature of 47 patients-25 males (53.1%) and 21 females (44.7%)-about their TGDC to assess the clinical picture, therapy, and prognosis of the disease. Most of the patients were children under the age of ten (63.8%). All patients had a history of a painless swelling in the anterior midline of the neck that moved in response to deglutition and tongue protrusion, thus interfering with their daily activity. Post-resection recurrence was unusual, with only 3 of 47 patients (6.4%) experiencing recurrence.
PubMed: 35225860
DOI: 10.3390/diseases10010007 -
Frontiers in Endocrinology 2021Sistrunk procedure is the standard method for thyroglossal duct cyst resection. While this procedure is successful and safe, it results in postoperative scars on the...
Sistrunk procedure is the standard method for thyroglossal duct cyst resection. While this procedure is successful and safe, it results in postoperative scars on the front of neck. We propose a total transoral technique without external incision that starts with careful separation of the floor of the mouth and genioglossus muscle followed by the exact localization of the cyst using methylene blue. Simultaneously, the hyoid bone connected to the cyst and tract was removed. Finally, routine hemostasis is conducted, and the operative cavity is closed. All patients who received this operation in our department recovered successfully without experiencing severe intraoperative or postoperative complications.
Topics: Endoscopy; Humans; Hyoid Bone; Postoperative Complications; Thyroglossal Cyst; Thyroid Gland
PubMed: 35250846
DOI: 10.3389/fendo.2021.774174 -
Ear, Nose, & Throat Journal Feb 2017
Topics: Adolescent; Adult; Child; Diagnosis, Differential; Female; Humans; Hyoid Bone; Male; Middle Aged; Neck; Thyroglossal Cyst; Young Adult
PubMed: 28231361
DOI: 10.1177/014556131709600204 -
Cirugia Pediatrica : Organo Oficial de... Apr 2022
Topics: Humans; Neoplasm Recurrence, Local; Retrospective Studies; Thyroglossal Cyst
PubMed: 35485751
DOI: 10.54847/cp.2022.02.11 -
The Journal of International Medical... Feb 2023The incidence of thyroglossal duct diseases in the general population is about 7%. We aimed to demonstrate the clinical presentations and management of thyroglossal duct...
OBJECTIVE
The incidence of thyroglossal duct diseases in the general population is about 7%. We aimed to demonstrate the clinical presentations and management of thyroglossal duct diseases.
METHODS
We conducted a retrospective review of all patients who underwent surgery for histopathologically confirmed thyroglossal duct cyst, sinus, or fistula at a single center.
RESULTS
A total of 151 cases were included in this study. There were more female patients (87, 58%) than male patients (64, 42%). The patients' ages ranged from 1 to 63 years old. The most prevalent complaint was painless upper midline neck swelling (93.3%). Most cases were diagnosed as thyroglossal duct cysts (137, 90.7%). Six cases (4%) were associated with carcinoma. All the cases were managed using the modified Sistrunk procedure. There were no procedure-related complications, and five cases of recurrence.
CONCLUSIONS
Although thyroglossal duct cyst is the most common neck anomaly in children, it may also present with various characteristics later in life. This condition can be managed successfully without complications and with a low recurrence rate.
Topics: Child; Humans; Male; Female; Infant; Child, Preschool; Adolescent; Young Adult; Adult; Middle Aged; Thyroglossal Cyst; Thyroid Gland; Carcinoma; Retrospective Studies
PubMed: 36799092
DOI: 10.1177/03000605231154392 -
Current Opinion in Otolaryngology &... Apr 2021The aim of this study was to analyse the rational of the possible therapeutic approaches to thyroglossal duct cyst carcinomas (TGDCCa), especially in consideration of... (Review)
Review
PURPOSE OF REVIEW
The aim of this study was to analyse the rational of the possible therapeutic approaches to thyroglossal duct cyst carcinomas (TGDCCa), especially in consideration of their potential airway involvement, discussing the most debated issues concerning employment of thyroidectomy, neck dissection and adjuvant treatments.
RECENT FINDINGS
The literature is unanimous in defining the Sistrunk procedure as the baseline of surgical treatment of TGDCCa, and in equating the vast majority of thyroid-like TGDCCas to classic thyroid cancers from a biological point of view, while the rarer squamous cell carcinomas seem to behave more aggressively. Thyroidectomy, neck dissection and radioactive iodine treatment are considered for high-risk lesions, with the addition of customized partial resection of laryngeal cartilages when airway involvement is encountered. Furthermore, the analysis of thyroid mutational markers has promise for accurate prevision of more aggressive clinical behaviours.
SUMMARY
Even if rare, clinicians should be aware of TGDCCa due to the possibility of incidental diagnosis and, in the case of more advanced clinical scenarios, for its potential airway involvement. Sistrunk procedure combined with thyroidectomy, neck dissection and adjuvant therapy provide excellent results in high-risk patients. Additional study of pathological thyroid markers in TGDCCa is desirable to allow more individualized treatments.
Topics: Carcinoma, Papillary; Carcinoma, Squamous Cell; Humans; Iodine Radioisotopes; Thyroglossal Cyst; Thyroid Neoplasms; Thyroidectomy
PubMed: 33664197
DOI: 10.1097/MOO.0000000000000699 -
The Ulster Medical Journal Oct 2015
Topics: Adult; Carcinoma, Basal Cell; Facial Neoplasms; False Positive Reactions; Humans; Hyperkalemia; Leukemia, Lymphocytic, Chronic, B-Cell; Lithotripsy; Male; Mohs Surgery; Potassium; Skin Neoplasms; Specimen Handling; Thyroglossal Cyst; Tomography, X-Ray Computed
PubMed: 26668426
DOI: No ID Found -
Ear, Nose, & Throat Journal Mar 2022A thyroglossal duct cyst (TGDC) is the most common congenital anterior neck mass. It can develop from residual tissue not degenerated during development and is mainly...
A thyroglossal duct cyst (TGDC) is the most common congenital anterior neck mass. It can develop from residual tissue not degenerated during development and is mainly diagnosed in pediatric patients. However, a TGDC is sometimes diagnosed for the first time in adult patients. A TGDC is mainly caused by repeated infections of the duct and there might be no specific symptoms. A TGDC can occur anywhere from the floor of the mouth to the thyroid but is most often found at the infrahyoid level. Over the past 10 years, there has been no report of a TGDC in the suprasternal region among TGDCs in unusual locations. This paper describes one case of a suprasternal TGDC with a review of the literature on this topic.
PubMed: 35324319
DOI: 10.1177/01455613221086037