Three kinds of cysts in the same patient

Abstract

An 18-year-old male patient presented with a swelling in the neck with presumptive diagnosis of epidermal cyst (EC) that was enucleated, histopathological examination confirmed the diagnosis. Four years later the patient presented with another swelling with similar clinical features. It was located on the midline of the neck at the hyoid bone. Excision of cyst was done and microscopically it showed features of thyroglossal duct cyst (TDC). Two months later a new swelling was noted on the right side of the neck. A complete surgical excision was done and the lesion was diagnosed as a lymphoepithelial cyst. The purpose of this report was to analyze each of the entities that were present in this case; since, the presence of three different cervical cystic lesions in the same patient is uncommon.

Correlations between ultrasonography performed by the ENT specialist and pathologic findings in the management of three cases with thyroglossal duct cyst

“…Often TDC is discovered as infected [6] or as giant cervical masses [7] causing stridor, as in our second case, or obstructive sleep apnea [8]. There are cases presenting simultaneous cysts [9] and synchronous tumors [10]. Till now there are many management dilemmas concerning TDC that need answers [11] but in general practice the investigation sequence of a TDC involves ultrasonography [12] followed by CT [13] (if needed) and FNAC [14] prior to Sistrunk operation [15] with possible associated thyroidectomy in cases of malignancy [16].…”