Ectopic thyroid carcinomas in the submental portion arise usually from a thyroglossal duct cyst. We report a rare case of that lacking a thyroglossal duct cyst. The patient, a 32 year-old man, had two submental tumors with good mobility. CT, MRI, and US revealed two solid tumors. Fine needle aspiration cytology (FNAC) suggested thyroid papillary carcinoma metastasis. The thyroid gland itself showed normal morphology. The submental tumors were extirpated. Pathological examination revealed ectopic normal thyroid tissue and papillary carcinoma. As the edge of the extirpated tumor showed positive papillary carcinoma cells, reoperation was performed to remove the residual tumor using Sistrunk's technique. To the best of our knowledge, this is the 45th case of ectopic thyroid carcinoma with no thyroglossal duct cyst and second case of that in the submental portion in the English and Japanese literature. FNAC was the most important to diagnose and differentiate the submental tumors.
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http://dx.doi.org/10.3950/jibiinkoka.108.27 | DOI Listing |
Braz J Otorhinolaryngol
January 2025
Children's Hospital of Fudan University, Department of Otolaryngology-Head and Neck Surgery, Shanghai, China. Electronic address:
Objectives: Lingual Thyroglossal Duct Cysts (LTDCs) are a rare variant of thyroglossal duct Cyst (LDC). This study aimed to explore the efficacy of transoral excision of LTDC and evaluate the added benefit of concomitant management of laryngomalacia during the surgical intervention.
Methods: Infants with LTDCs were retrospectively collected from our department from January 2009 to January 2022.
Cureus
November 2024
Otolaryngology - Head and Neck Surgery, Shri B.M. Patil Medical College, Hospital and Research Centre, Vijayapura, IND.
The most common congenital cervical masses are thyroglossal cysts followed by branchial cleft anomalies. However, their synchronous presentation is uncommon. A man in his early thirties visited our ear, nose, and throat (ENT) outpatient department (OPD) with complaints of a three-month history of right-side neck swelling.
View Article and Find Full Text PDFCureus
November 2024
General Surgery, Gujarat Cancer Society (GCS) Medical College Hospital and Research Centre, Ahmedabad, IND.
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.
View Article and Find Full Text PDFEur Ann Otorhinolaryngol Head Neck Dis
December 2024
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.
View Article and Find Full Text PDFCureus
October 2024
Otolaryngology - Head and Neck Surgery, St. Luke's University Health Network, Bethlehem, USA.
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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