Coexisting Thyroglossal Duct Cyst with Papillary Thyroid Cancer: A Case Report and Literature Review.

IF 0.4 Q4 OTORHINOLARYNGOLOGY

Case Reports in Otolaryngology Pub Date : 2021-12-26 eCollection Date: 2021-01-01 DOI:10.1155/2021/6111308

Abdullah A Alarfaj, Ahmed Zekri, Ibrahim Alyaeesh, Ahmed Alomairin, Abdulrahman Al Naim

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Abstract

Thyroglossal duct cysts (TGDCs) are common developmental anomalies in which the thyroglossal duct is not obliterated. Coexisting papillary thyroid cancer and TGDC are uncommon and should be investigated thoroughly to rule out TGDC carcinoma. We report a rare case of coexisting papillary thyroid cancer and TGDC in a 48-year-old man, who presented with a history of recurrent mild painful midline neck swelling, and ultrasound (US) revealed a TGDC that was subsequently managed conservatively. On follow-up after 1.6 years, a thyroid US and a fine-needle aspiration (FNA) biopsy were performed, which showed malignant papillary thyroid carcinoma. Total thyroidectomy, the Sistrunk procedure, and central neck dissection were implemented. After three days, the patient was discharged on 150 mg of levothyroxine. Follow-up was unremarkable with no complications. The authors would like to stress the importance of regular TGDC and thyroid gland follow-ups for early detection and diagnosis of thyroid malignancy via clinical examination and US.

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甲状腺舌管囊肿合并甲状腺乳头状癌1例报告并文献复习。

甲状舌管囊肿(TGDCs)是常见的发育异常，甲状舌管未完全消失。甲状腺乳头状癌与TGDC共存并不常见，应彻底检查以排除TGDC癌。我们报告一例罕见的乳头状甲状腺癌和TGDC共存的病例，患者为48岁男性，其表现为复发性轻度疼痛颈部中线肿胀史，超声(US)显示TGDC，随后进行保守治疗。在1.6年后的随访中，进行了甲状腺US和细针穿刺(FNA)活检，显示为恶性甲状腺乳头状癌。实施甲状腺全切除术、Sistrunk手术和中央颈部清扫术。三天后，患者给予150毫克左甲状腺素出院。随访无显著差异，无并发症。作者想强调定期TGDC和甲状腺随访对于通过临床检查和超声早期发现和诊断甲状腺恶性肿瘤的重要性。

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Case Reports in Otolaryngology OTORHINOLARYNGOLOGY-

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13 weeks