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CASE REPORT
Year : 2016  |  Volume : 13  |  Issue : 2  |  Page : 77-79

Conservatively managed thyroglossal duct cyst carcinoma with lymph node metastasis: Long-term result


1 Tepecik Training and Research Hospital Head and Neck Surgery Clinic, Izmir, Turkey
2 Derince Training and Research Hospital Pathology Clinic, Kocaeli, Turkey
3 Derince Training and Research Hospital Head and Neck Surgery Clinic, Kocaeli, Turkey

Correspondence Address:
Dr. Ilker Burak Arslan
Izmir Tepecik Egitimve Arastirma Hastanesi KBB Klinigi, Gaziler Caddesi No: 468, 35170 Yenisehir, Izmir
Turkey
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0973-0354.157920

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Thyroid papillary carcinomas of thyroglossal duct cysts (TGDCs) are quite uncommon. Despite the identification of risk factors, the treatment course is controversial. A 34-year-old woman suffering sudden growth of a mass in the neck was clinically diagnosed TGDC. Ultrasonography and computed tomography (CT) showed irregular heterogeneous mass, with a large cystic component consisting of calcification and 7 × 6 mm solid smoothly contoured mass close to the left isthmus. Thyroid scintigraphy exposed normal thyroid gland uptake and a small cold nodule near the isthmus. Fine-needle aspiration cytology revealed signs of well-differentiated papillary TGDCs carcinoma. Sistrunk's procedure with an anterior neck dissection was performed. Postoperative histopathological examination revealed well-differentiated papillary carcinoma arising from thyroglossal cyst and lymph node metastasis. No further treatment was carried out and she was followed-up without recurrence for 44 months. A conservative procedure should be performed in well-differentiated papillary carcinoma of the TGDC.


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