Sistrunk Procedure on Malignant Thyroglossal Duct Cyst
A thyroglossal duct cyst is a lesion that occurs as a result from failure of the thyroglossal duct to obliterate during fetal development. Malignant progression is a rare event that might occur in less than 1% of all cases. Because of its rarity, there are conflicting opinions regarding the manageme...
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Wiley
2020-01-01
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| Series: | Case Reports in Oncological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2020/6985746 |
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| author | Diani Kartini Sonar S. Panigoro Agnes S. Harahap |
| author_facet | Diani Kartini Sonar S. Panigoro Agnes S. Harahap |
| author_sort | Diani Kartini |
| collection | DOAJ |
| description | A thyroglossal duct cyst is a lesion that occurs as a result from failure of the thyroglossal duct to obliterate during fetal development. Malignant progression is a rare event that might occur in less than 1% of all cases. Because of its rarity, there are conflicting opinions regarding the management of the case. In the present study, a 46-year-old male presented with a painless neck mass that had increased in size over the last 6 months. There was no difficulty in swallowing and breathing, change in voice, significant weight loss, or any signs of hyperthyroidism. Laboratory workup showed that results were within normal limits. Thyroid gland ultrasonography and cervical contrast CT scan revealed a complex cystic mass that pointed towards a thyroglossal duct cyst. We performed Sistrunk procedure. Postoperative pathology examination revealed microscopic appearance of the thyroglossal duct cyst with a classic follicular variant of papillary thyroid carcinoma. Our latest follow-up showed no signs of tumor recurrence or any complications following surgery on locoregional status. As a fine needle aspiration biopsy cannot ensure a precise result in all of cases, it is essential to perform a solid physical examination and thorough supporting examination in deciding the precise management for the patient. |
| format | Article |
| id | doaj-art-f416f052cb5441eb91be29734e8afacc |
| institution | Kabale University |
| issn | 2090-6706 2090-6714 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Oncological Medicine |
| spelling | doaj-art-f416f052cb5441eb91be29734e8afacc2025-02-03T05:51:46ZengWileyCase Reports in Oncological Medicine2090-67062090-67142020-01-01202010.1155/2020/69857466985746Sistrunk Procedure on Malignant Thyroglossal Duct CystDiani Kartini0Sonar S. Panigoro1Agnes S. Harahap2Oncology Division, Department of Surgery, Dr. Cipto Mangunkusumo General Hospital, Faculty of Medicine, Universitas Indonesia, Jakarta, IndonesiaOncology Division, Department of Surgery, Dr. Cipto Mangunkusumo General Hospital, Faculty of Medicine, Universitas Indonesia, Jakarta, IndonesiaDepartment of Anatomical Pathology, Dr. Cipto Mangunkusumo General Hospital, Faculty of Medicine, Universitas Indonesia, Jakarta, IndonesiaA thyroglossal duct cyst is a lesion that occurs as a result from failure of the thyroglossal duct to obliterate during fetal development. Malignant progression is a rare event that might occur in less than 1% of all cases. Because of its rarity, there are conflicting opinions regarding the management of the case. In the present study, a 46-year-old male presented with a painless neck mass that had increased in size over the last 6 months. There was no difficulty in swallowing and breathing, change in voice, significant weight loss, or any signs of hyperthyroidism. Laboratory workup showed that results were within normal limits. Thyroid gland ultrasonography and cervical contrast CT scan revealed a complex cystic mass that pointed towards a thyroglossal duct cyst. We performed Sistrunk procedure. Postoperative pathology examination revealed microscopic appearance of the thyroglossal duct cyst with a classic follicular variant of papillary thyroid carcinoma. Our latest follow-up showed no signs of tumor recurrence or any complications following surgery on locoregional status. As a fine needle aspiration biopsy cannot ensure a precise result in all of cases, it is essential to perform a solid physical examination and thorough supporting examination in deciding the precise management for the patient.http://dx.doi.org/10.1155/2020/6985746 |
| spellingShingle | Diani Kartini Sonar S. Panigoro Agnes S. Harahap Sistrunk Procedure on Malignant Thyroglossal Duct Cyst Case Reports in Oncological Medicine |
| title | Sistrunk Procedure on Malignant Thyroglossal Duct Cyst |
| title_full | Sistrunk Procedure on Malignant Thyroglossal Duct Cyst |
| title_fullStr | Sistrunk Procedure on Malignant Thyroglossal Duct Cyst |
| title_full_unstemmed | Sistrunk Procedure on Malignant Thyroglossal Duct Cyst |
| title_short | Sistrunk Procedure on Malignant Thyroglossal Duct Cyst |
| title_sort | sistrunk procedure on malignant thyroglossal duct cyst |
| url | http://dx.doi.org/10.1155/2020/6985746 |
| work_keys_str_mv | AT dianikartini sistrunkprocedureonmalignantthyroglossalductcyst AT sonarspanigoro sistrunkprocedureonmalignantthyroglossalductcyst AT agnessharahap sistrunkprocedureonmalignantthyroglossalductcyst |