Thyroglossal duct cyst.

Quintessence Int

Dental Diagnostic Science, University of Texas Health Science Center, San Antonio, USA.

Published: February 2003

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Thyroglossal duct cysts (TGDCs) are typically located in the midline of the neck. Carcinomas arising within these cysts are extremely rare, with papillary carcinoma being the most common type. Diagnosis is generally confirmed postoperatively following excision.

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A century ago, W.E. Sistrunk described a surgical technique still relevant today.

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Service ORL-CCF, CHU de Grenoble-Alpes (CHUGA), Grenoble, France; Secteur santé, université Grenoble-Alpes (UGA), Grenoble, France.

Research and knowledge in human embryology greatly progressed during the second half of the 19th century. This allowed optimization of surgical treatment of branchial deformities and cervical cysts in the light of their embryological development. In 1920, Walter Ellis Sistrunk described an embryologically-based technique for resection of thyroglossal duct fistulae and cysts.

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Sistrunk procedure is the treatment for thyroglossal duct cysts (TGDC), the majority of which occur in children. TGDC are very rare in the elderly and account for under 2% of cases. Management in this population, where risks of surgery may outweigh benefits, is unclear.

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High-resolution ultrasound of thyroglossal cysts with special emphasis on the detection of cystic portions above the hyoid within the tongue base.

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Department of ENT, Head and Neck Surgery and Plastic Surgery, Klinikum Bad Salzungen, Bad Salzungen, Germany.

Article Synopsis
  • Thyroglossal duct cysts (TGDCs) at the tongue base can be difficult to manage surgically and may result in recurrence; this study examines the effectiveness of high-resolution ultrasound in their diagnosis compared to surgical findings.
  • The research included 50 patients, using ultrasound to identify the presence of thyroid tissue within TGDCs, finding that histological analysis revealed thyroid tissue in nearly half of those who underwent surgery.
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Ectopic thyroid follicular carcinoma in the right mandible: a case report.

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Department of Head and Neck Oncology, West China Hospital of Stomatology, Sichuan University, Chengdu, China.

Background: Ectopic thyroid carcinoma in the mandible is extraordinarily rare; few histologically proven cases have been reported in the literature. Embryologically, cases of ectopic thyroid occur with a developmental abnormality during the migration of the thyroid gland from the floor of the primitive foregut to its final position in the neck. Ectopic thyroid tissue can be found around the course of the thyroglossal duct or laterally in the neck, and even in the mediastinum or below the diaphragm.

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