A large thyroglossal duct cyst and its management: a case report

Fountarlis, Athanasios Luca; Koltsidopoulos, Petros; Hajiioannou, Jiannis; Lachanas, Vassilios A.; Kalogritsas, Nick; Solomi, Efthymios

doi:10.11604/pamj.2023.44.10.35448

Cited by 2 publications

(2 citation statements)

References 19 publications

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“…In this case report, our patient presented with an atypical clinical course in terms of the adult age of onset and large cyst size. Several large TGDC cases in adults have been highlighted in the literature [6][7][8][9][10][11][12][13][14][15]. Due to its rarity, most of the literature was case reports.…”

Section: Discussionmentioning

confidence: 99%

“…Righini et al mentioned that the recurrence rate following the Sistrunk procedure was less than 3% in comparison to simple excision of the cyst [18]. Based on the literature review (Figure 5), reported TGDCs with sizing less than 10 cm were managed solely with Sistrunk operation without necessitating any peri-operative measures [6][7][8][9][10]. In contrast, those sizes 10 cm and larger were more prone to laryngopharyngeal obstruction.…”

Section: Figure 5: Treatment Instituted For Large Tgdc Among Adults B...mentioning

confidence: 99%

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Large Thyroglossal Duct Cyst Presenting in Adulthood: A Case Report and Literature Review

Tan¹,

Misron²,

Kamalden³

2023

Cureus

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Thyroglossal duct cyst (TGDC) is one of the most prevalent congenital midline cervical anomalies which commonly appear during childhood. It has a typically slow-growing presentation with small-or moderatesized swelling. Here, we described our experience in managing a case of TGDC with an extraordinary clinical course and size, with further evidence from a literature review. A 35-year-old gentleman presented later in adult life with a large midline neck mass of 9.3 x 9.0 x 10.7 cm reaching up to the level of mandible superiorly and sternal notch inferiorly. His history and physical examination, along with fine needle aspiration cytology (FNAC) and CT scan, were suggestive of TGDC. He successfully underwent a Sistrunk operation for TGDC without any morbidity. Postoperatively, he recovered well without evidence of recurrence during follow-up. Large TGDC is always a challenge to clinicians. Correlating the clinical features and imaging is crucial to decide the appropriate surgical treatment.

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