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At least 19 recordsLinked to original sources

Ethanol injection sclerotherapy for Baker's cyst, thyroglossal duct cyst, and branchial cleft cyst.

Six patients with Baker's cysts, 3 with branchial cleft cysts, and 2 with thyroglossal duct cysts were treated with percutaneous aspiration and absolute ethanol sclerotherapy using a 7-French pigtail catheter. Cystography was performed before ethanol injection to confirm that there was no extravasation and that it was a monocystic lesion. One recurrence of a Baker's cyst was revealed in follow-up examinations, which ranged from 11 months to 36 months (mean, 25 months). The major complication of hypoesthesia of the popliteal region was observed in 1 patient treated for Baker's cyst. The results of this series suggest that ethanol sclerotherapy is the treatment of choice for Baker's cyst, branchial cleft cyst, and thyroglossal duct cyst.

Adolescent↗

[Thyroglossal cyst].

The thyroglossal cyst is a wellknown cause of a swelling in the neck. The generally accepted technique of treatment was described in 1928, but many recurrences are still seen in daily clinical practice. The radical technique of removal of cysts and sinuses of the thyroglossal duct according to Sistrunk is the method of choice. Over an 8-year period 40 cases were treated in this fashion in the University Hospital Groningen, the Netherlands, with an average follow-up of 5 years and 3 months; in 29 it was the first operation. Only 1 patient of the 23 treated according to Sistrunk had a recurrence for which he had to be treated again. Six patients were treated otherwise; 3 of them had a recurrence. It is concluded that the first surgery (according to Sistrunk), if correctly performed, offers the best chance for cure.

Adolescent↗

The thyroglossal cyst.

The thyroglossal cyst is the most common nonodontogenic cyst in the neck. This cyst may also occur in the lingual or submental areas, though more rarely. Malignant changes have been described. Clinically, no differentiation between a benign cyst and a malignancy can be made. The literature is reviewed regarding the embryology, epidemiology, etiology, symptomatology, radiology, histology, and treatment of this cyst and its malignant counterpart.

Adolescent↗

Papillary carcinoma in a thyroglossal cyst.

A thyroglossal duct cyst is a congenital anomaly that arises from remnants of the thyroglossal duct, which in the embryo connects the thyroid gland with the floor of the pharynx. Primary carcinomas of thyroglossal duct tissue are rare, and are usually diagnosed after surgery. Management of such tumours is not clearcut. A case of a papillary carcinoma of thyroglossal duct tissue is presented that has been followed up for 10 years following Sistrunk's operation, and the management of these uncommon tumours is discussed.

Adult↗

Investigation and treatment of thyroglossal cysts in children.

Thyroglossal cysts are the commonest midline neck masses in children. To evaluate current practice questionnaires were sent to all ear, nose and throat (ENT) and paediatric surgeons in the UK and 72% responded. The commonest investigation requested was an ultrasound scan (54%) and the commonest operation was a variant of Sistrunk's procedure (78%). Paediatric surgeons did fewer investigations than ENT surgeons and tended to excise more of the thyroglossal tract. Review of the published work suggests that ultrasound scanning and Sistrunk's procedure are the best management policy. The scan can avoid inadvertent excision of an ectopic thyroid gland. Extensive thyroglossal tract excisions give lower recurrence rates.

Child↗

Primary papillary carcinoma in a thyroglossal cyst--a case report.

A benign thyroglossal cyst is a common clinical condition and is second only to a cervical lymph node as the most common cause of a solitary neck swelling. Primary carcinoma of a thyroglossal cyst, however, is rare and has been described in only 115 cases in the literature. The malignant cysts are clinically difficult to differentiate from benign lesions and the diagnosis often rests on histopathological examination. Before initiating treatment, primary papillary carcinoma of the thyroid gland must be excluded. The treatment options range from simple excision to a Sistrunk operation with concurrent cervical lymph node dissection. We describe here a case of papillary carcinoma of a thyroglossal cyst and review the 115 reported cases.

Adult↗

Papillary adenocarcinoma arising in a thyroglossal cyst.

Carcinoma arising in a thyroglossal cyst is a rare but well-recognized condition. In this paper we present a further case of papillary adenocarcinoma arising in a thyroglossal cyst, and review the published experience of this condition.

Adenocarcinoma, Papillary↗

Papillary carcinoma arising in a thyroglossal cyst.

Carcinoma arising in a congenital thyroglossal cyst is rare, with less than 150 cases reported worldwide. This is a case report of a papillary carcinoma arising within a thyroglossal cyst in a 51 year old woman. Management of this condition remains controversial. Most of these tumours arise from ectopic thyroid tissue within the cyst. Prognosis is good as metastasis is uncommon. Sistrunk procedure is adequate if histology does not reveal extracystic extension.

Carcinoma, Papillary↗

Management of thyroglossal cysts in children.

Forty children with a suspected thyroglossal cyst were operated on by one paediatric surgeon receiving primary and secondary referrals in an 8-year period. Nine patients (22 per cent) proved to have other pathology. Multiple operations were required in eight of 17 patients (47 per cent) who had infected thyroglossal cysts but in only one of 14 (7 per cent) with uninfected cysts. In the infected group preliminary incision and drainage was necessary in five cases and cyst recurrence occurred in four (24 per cent), whereas in the uninfected group there was only one recurrence (7 per cent) in a patient with double pathology. Infection and recurrent cysts were the chief reasons for multiple operations. Recurrence was caused by inadequate performance of the correct operation (Sistrunk's) or choice of the wrong operation. Two of our own three recurrences were due to the latter, other pathology being suspected intraoperatively. Histological study of the specimens showed that thyroglossal ducts were frequently multiple and widely spaced. In children any lesion whose presentation is typical of a thyroglossal cyst should be treated with an early Sistrunk's operation. The operation in children who have other pathology has no complications and is justified.

Bacterial Infections↗

Papillary carcinoma in a giant lateral thyroglossal cyst.

The development of carcinoma in a thyroglossal cyst is rare. This report describes the presence of papillary carcinoma in a giant thyroglossal cyst and reviews the literature regarding the clinico-pathological features of the disease and its management.

Carcinoma, Papillary↗

Inapparent twin malignancy in thyroglossal cyst: Case Report.

BACKGROUND: Although malignancy has been reported in thyroglossal cysts, synchronous occurrence of two malignancies is extremely rare. CASE REPORT: A case of concurrent papillary and squamous carcinoma arising in the thyroglossal cyst is presented here. CONCLUSIONS: Papillary and squamous carcinoma simultaneously occurring in a thyroglossal cyst is rarely diagnosed prior to surgery and pose a therapeutic dilemma. In view of the extreme rarity of the condition, controversies do exist regarding the optimal strategy to be adopted. The ideal procedure needs to be individually tailored and involve a combination of surgery, radio ablation, thyroid suppression and external radiotherapy.

Journal Article↗

Papillary carcinoma of the thyroid originating in a thyroglossal cyst. Report of a case and diagnostic criteria.

A 34-year-old female with papillary carcinoma of the thyroid originating in a thyroglossal cyst is described. The patient's chief complaint was a submental mass. The mass was 6 x 4 cm, elastic, soft, and smooth-surfaced. CT examination showed high-density areas in part of the interior of the mass. Resection of the mass was attempted with a diagnosis of thyroglossal cyst. Since papillary carcinoma of the thyroid was noted in the cyst by intraoperative frozen section pathological examination, primary carcinoma of the thyroid was suspected, and the thyroid and surrounding areas were examined. Since no abnormalities were noted in the thyroid, the thyroid was preserved. According to the following reasons, the tumor was considered to be primary papillary carcinoma of the thyroid arising in the thyroglossal cyst: (1) Scar formation was noted in the center of the tumor; (2) tumor cells partly infiltrated into the surrounding tissues, and (3) no tumor was noted in the thyroid. A definitive diagnosis of carcinoma arising in the thyroglossal cyst has required confirmation of the absence of carcinoma in the thyroid by total thyroidectomy. In the present case, however, total thyroidectomy was avoided, because no gross pathological changes were observed in the thyroid during the operation. This decision may be controversial both diagnostically and therapeutically, but we consider from our observation of the course that total thyroidectomy is not always necessary.

Adult↗

Primary papillary carcinoma in a thyroglossal cyst.

Papillary carcinoma arising in a thyroglossal cyst is rare. There is controversy regarding optimum management. We report a case managed by Sistrunk's procedure and external radiotherapy and review the literature on the subject.

Adult↗

Hydatid disease in a thyroglossal cyst.

The location of hydatid disease in organs other than the liver and lung is unusual and occasionally producing difficulties in diagnosis. Thyroglossal cyst itself is not so common, so that more careful search of thyroglossal cyst for the presence of scolex and/or laminated membrane may result in increase in frequency of such a condition in the area where hydatid disease is prevailed. Since we were unable to find a case of hydatid disease involving thyroglossal cyst, as in our present case, we feel justified in reporting this case, considering it would be the first publication in world literature.

Adult↗

Aberrant thyroglossal cyst.

A case is presented of a laterally occurring thyroglossal cyst. In conventional teaching, thyroglossal duct remnants occupy the midline, or a position adjacent to the midline, and are found in a line marking the descent of the thyroid anlage and move upwards on protruding the tongue. Laterally presenting thyroglossal duct remnants are unusual.

Humans↗

Ossified thyroglossal cyst--is it of embryological significance?

We report a case of a partly ossified thyroglossal cyst in close proximity to the hyoid bone and discuss the possible embryological significance of this. Thyroglossal cysts occurring within the hyoid bone or deep to the hyoid periosteum support previous suggestions that the thyroglossal tract can sometimes be trapped within the developing hyoid bone.

Aged↗