“Incidental Papillary Thyroid Cancer in Thyroglossal Duct Cyst”: A Case Report
Introduction: Papillary thyroid cancer (PTC) in thyroglossal duct cyst (TGDC) is an infrequent condition with less than two hundred cases described in literature, with an incidence likely to be close to 1%. While its management is quite straightforward, there exists significant controversy regarding...
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doaj-a4dd1ab1013d4528a89e530f04b1bb462021-08-31T07:53:10ZengMashhad University of Medical SciencesIranian Journal of Otorhinolaryngology2251-72512251-726X2021-05-0133318719010.22038/ijorl.2021.46922.256517927“Incidental Papillary Thyroid Cancer in Thyroglossal Duct Cyst”: A Case ReportJosé-Luis Saavedra-Leveau0Silvana-Lucia Chang-Grozo1Melissa Dominguez-Prado2Luis-Alfredo Ticona-Zegarra3Head, Neck and Maxillofacial Surgery Service, Hospital Nacional Dos de Mayo, Lima-Perú, Universidad Nacional Mayor de San Marcos, Lima-Perú.Head, Neck and Maxillofacial Surgery Service, Hospital Nacional Dos de Mayo, Lima-Perú, Universidad Nacional Mayor de San Marcos, Lima-Perú.Head, Neck and Maxillofacial Service, Hospital Central Policía Nacional del Perú.Head, Neck and Maxillofacial Service, Hospital Nacional de Salud del Niño, Breña.Introduction: Papillary thyroid cancer (PTC) in thyroglossal duct cyst (TGDC) is an infrequent condition with less than two hundred cases described in literature, with an incidence likely to be close to 1%. While its management is quite straightforward, there exists significant controversy regarding whether additional treatment is needed to manage incidentally noticed carcinoma in TGDCs. Case Report: A 37-years-old man came to us complaining of a slowly progressive neck mass located in the midline from 4 years ago. Ultrasonography (US) showed a mixed tumor with cyst predominance of 90x79x50 mm and Computed-Tomography (CT) revealed a mixed inframentonian heterogeneous tumor associated with small, mostly peripheral calcifications. The mass was resected using Sistrunk’s surgery. Histologic review reported a moderately differentiated papillary carcinoma in thyroglossal duct cyst, without vascular and lymphatic invasion. After two months, a total thyroidectomy was done, to which the pathological report informed normal thyroid. Conclusion: Thyroglossal duct cyst carcinoma is a rare entity. Management should be decided on single risk stratification. In all cases, a Sistrunk surgery would be accomplished in order to remove the tumor. The reason for thyroidectomy in individuals with a normal thyroid is due to the probability of presenting an intraglandular thyroid cancer concomitantly. It also enables the management with radio-iodine and patient follow up by quantifying thyroglobulin levels.https://ijorl.mums.ac.ir/article_17927_c5a214a1f78bc469a156d70640d97f49.pdfhead and neck cancersurgical managementthyroglossal duct cystthyroid cancer |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
José-Luis Saavedra-Leveau Silvana-Lucia Chang-Grozo Melissa Dominguez-Prado Luis-Alfredo Ticona-Zegarra |
spellingShingle |
José-Luis Saavedra-Leveau Silvana-Lucia Chang-Grozo Melissa Dominguez-Prado Luis-Alfredo Ticona-Zegarra “Incidental Papillary Thyroid Cancer in Thyroglossal Duct Cyst”: A Case Report Iranian Journal of Otorhinolaryngology head and neck cancer surgical management thyroglossal duct cyst thyroid cancer |
author_facet |
José-Luis Saavedra-Leveau Silvana-Lucia Chang-Grozo Melissa Dominguez-Prado Luis-Alfredo Ticona-Zegarra |
author_sort |
José-Luis Saavedra-Leveau |
title |
“Incidental Papillary Thyroid Cancer in Thyroglossal Duct Cyst”: A Case Report |
title_short |
“Incidental Papillary Thyroid Cancer in Thyroglossal Duct Cyst”: A Case Report |
title_full |
“Incidental Papillary Thyroid Cancer in Thyroglossal Duct Cyst”: A Case Report |
title_fullStr |
“Incidental Papillary Thyroid Cancer in Thyroglossal Duct Cyst”: A Case Report |
title_full_unstemmed |
“Incidental Papillary Thyroid Cancer in Thyroglossal Duct Cyst”: A Case Report |
title_sort |
“incidental papillary thyroid cancer in thyroglossal duct cyst”: a case report |
publisher |
Mashhad University of Medical Sciences |
series |
Iranian Journal of Otorhinolaryngology |
issn |
2251-7251 2251-726X |
publishDate |
2021-05-01 |
description |
Introduction: Papillary thyroid cancer (PTC) in thyroglossal duct cyst (TGDC) is an infrequent condition with less than two hundred cases described in literature, with an incidence likely to be close to 1%. While its management is quite straightforward, there exists significant controversy regarding whether additional treatment is needed to manage incidentally noticed carcinoma in TGDCs. Case Report: A 37-years-old man came to us complaining of a slowly progressive neck mass located in the midline from 4 years ago. Ultrasonography (US) showed a mixed tumor with cyst predominance of 90x79x50 mm and Computed-Tomography (CT) revealed a mixed inframentonian heterogeneous tumor associated with small, mostly peripheral calcifications. The mass was resected using Sistrunk’s surgery. Histologic review reported a moderately differentiated papillary carcinoma in thyroglossal duct cyst, without vascular and lymphatic invasion. After two months, a total thyroidectomy was done, to which the pathological report informed normal thyroid. Conclusion: Thyroglossal duct cyst carcinoma is a rare entity. Management should be decided on single risk stratification. In all cases, a Sistrunk surgery would be accomplished in order to remove the tumor. The reason for thyroidectomy in individuals with a normal thyroid is due to the probability of presenting an intraglandular thyroid cancer concomitantly. It also enables the management with radio-iodine and patient follow up by quantifying thyroglobulin levels. |
topic |
head and neck cancer surgical management thyroglossal duct cyst thyroid cancer |
url |
https://ijorl.mums.ac.ir/article_17927_c5a214a1f78bc469a156d70640d97f49.pdf |
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