Open AccessThyroglossal duct cyst masquerading as a laryngocele
Author(s) -
Renee Booth,
Ashwini Tilak,
Sugoto Mukherjee,
James J. Daniero
Publication year - 2019
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2018-228319
Subject(s) - medicine , thyroglossal duct , neck mass , hyoid bone , thyroid cartilage , thyroglossal cyst , malignancy , cyst , asymptomatic , radiology , thyroid , surgery , larynx , pathology
Thyroglossal duct cysts (TGDCs) are the most common congenital neck mass and often present in the paediatric population as a painless mass in the midline. A lateralised neck mass presenting for the first time in an adult may raise more concern for malignancy or a laryngocele. A 50-year-old man presented with an asymptomatic right level II neck mass adjacent to the thyroid cartilage. Preoperative CT revealed a cystic mass right of the midline with an intralaryngeal component. Intraoperatively, the lesion tracked towards the central hyoid bone; a Sistrunk procedure was performed. Postoperative pathology revealed a small foci of thyroid tissue within the mass. Careful consideration of the origin of this unusually presenting TGDC enabled appropriate operative management.