Open AccessClinicopathological Evaluationof Thyroglossal Cyst
Author(s) -
Dhundi Raj Paudel
Publication year - 2012
Publication title -
journal of nepal medical association
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.176
H-Index - 19
eISSN - 1815-672X
pISSN - 0028-2715
DOI - 10.31729/jnma.360
Subject(s) - medicine , thyroglossal cyst , cyst , papillary carcinoma , malignancy , thyroid , carcinoma , thyroid carcinoma , incidence (geometry) , sinus (botany) , radiology , thyroglossal duct , surgery , pathology , physics , optics , botany , biology , genus
Thyroglossal cyst is a common congenital anomaly of the thyroid gland. Though malignant transformation is rare one case was a papillary carcinoma in my series.
Methods: Retrospectively thyroglossal cyst who underwent surgery during the period of January 2004 to March 2009 were evaluated.
Results: Age incidence of the cysts in the present series varied between 4 and 41 years. 12 (63%) patients were male and 7 (37%) patients were female. The sites of the lesion were as:thyrohyoid in 13 (68%),suprasternal in 1 (5%) and suprahyoid in 5 (27%) cases. Twelve patients had painless swelling on the neck and 7 had discharging sinus.Pre-operative cytological evaluation showed non-malignancy in all cases.Postoperative histological result turned out to be papillary carcinoma in 1 female patient of 33 years old and the remaining 18 had non-malignancy. This patient with papillary carcinoma had her thyroid gland in its normal position.
Conclusions: Malignant transformation should be ruled out in all cases of thyroglossal cyst and fistula. Post-operatively specimen should be sent for histological examination.
Keywords: papillary carcinoma;thyroglossal cyst; thyroid.