Papillary Carcinoma Thyroglossal Cyst

Abstract

Thyroglossal cyst is the most common congenital neck anomaly in children with equal sex incidence, but papillary carcinoma of the thyroglossal cyst in children is rare with only 10 cases reported so far. Even in adults, the incidence of malignancy in the thyroglossal cyst is only 1%. Most cases are diagnosed following surgery on histopathological examination; there is no consensus on the management owing to this rarity and indolent but unpredictable behavior of thyroid cancers. Here, we present one such rare case.

Thyroglossal Duct Cyst Carcinoma in The Pediatric Population: A Case Report and Literature Review

“…In the pT3 cases, Sistrunk procedure was performed, and total thyroidectomy was advocated. In Pandey et al, 2021, the patient did not undergo total thyroidectomy as parents refused a second operation. Shankar et al, 2015 were convinced about the patient needing a subsequent total thyroidectomy, radioactive iodine ablation and thyroxine suppression.…”

“…In terms of follow up, most authors remain vague with regards to follow up duration and methods. For instance, Pandey et al, 2021 reported that lymphovascular invasion was noted post operatively after a Sistrunk procedure and that parents declined total thyroidectomy and bilateral lymph node dissection. However, the authors wrote that after 2 years of follow up, the patient's repeat US of neck did not show any abnormality in the thyroid or lymphadenopathy.…”