Korean Journal of Head & Neck Oncology (대한두경부종양학회지)

The Korean Society for Head and Neck Oncology (대한두경부종양학회)
권호 표지

Two Cases of Papillary Thyroid Carcinoma Arising in Thyroglossal Duct Cyst

갑상설관 낭종에서 발생한 유두상암

  • Kim Jung-Hyun (Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Hallym University) ;
  • Park Il-Seok (Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Hallym University) ;
  • Yoon Dae-Young (Department of Radiology, College of Medicine, Hallym University) ;
  • Rho Young-Soo (Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Hallym University)
  • 김정현 (한림대학교 이과대학 이비인후-두경부외과학교실) ;
  • 박일석 (한림대학교 이과대학 이비인후-두경부외과학교실) ;
  • 윤대영 (한림대학교 이과대학 방사선과학교실) ;
  • 노영수 (한림대학교 이과대학 이비인후-두경부외과학교실)
  • Published : 2002.05.01
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Abstract

Thyroglossal duct cyst is a congenital anomaly generally appearing as an asymptomatic midline neck mass. Generally, the duct cyst is benign, but 1 percent of cases may be malignant. These present the same histologic types as thyroid carcinomas. The most common pathologic type is papillary carcinoma. Regional lymph node metastasis of papillary carcinomas in thyroglossal cyst occurs in 7.7 percent of cases. Prognosis of papillary carcinoma is excellent. The treatment has been quite variable, but the most common initial treatment is Sistrunk's operation. Adequate excision of cyst and its tract including the mid-portion of the hyoid bone is the treatment of choice. We experienced two cases of papillary carcinoma arising in thyroglossal duct cyst between 1986 and 2002.

Keywords

References

  1. Tunkel DE, Domench EE : Radioisotope scanning ofthe thyroid gland prior to thyrod glossal duct cyst excision. Arch Otolayngol Head Neck Surg. 1998 ; 124 : 597-599 https://doi.org/10.1001/archotol.124.5.597
  2. Ellis P,Van Nostrand AW : The applied anatomy of thyroglossal tract remnants. Laryngoscope. 1977 ; 87 : 765-770 https://doi.org/10.1002/lary.5540870512
  3. Kennedy TL, Whitaker M, Wadih G : Thyroglossal duct carcinoma : a rational approach to management. Laryngoscope. 1998 ; 108 : 1154-1158 https://doi.org/10.1097/00005537-199808000-00010
  4. Livolsi VA, Perzin KH, Savetsky L : Carcinoma arising in median ectopic thyroid (including thyroglossal duct tissue). Cancer. 1974 ; 34 : 1303-1315 https://doi.org/10.1002/1097-0142(197410)34:4<1303::AID-CNCR2820340442>3.0.CO;2-S
  5. Pollock WF : Cysts and sinuses of the thyroglossal duct. Am J Surg. 1966 ; 122 : 225-229
  6. Pollock WF : Cysts and sinuses of the thyroglossal duct. Am J Surg. 1966 ; 122 : 225-229
  7. Weiss SD, Oriich CC : Primary papillary carcinoma ofa thyroglossal duct cyst : Report of a case and literature review. Br J Surg. 1991 ; 78 (1) : 87-89 https://doi.org/10.1002/bjs.1800780127
  8. Page CP, Kemmerer WT : Thyroid carcinoma arising in thyroglossal cysts. Annals of Surgery. 1974 ; 180 : 799-803 https://doi.org/10.1097/00000658-197411000-00017
  9. Hilger AW, Thompson SD, Smallman LA, Watkinson IC : Papillary carcinoma arising in a thyroglossal duct cyst : a case report and literature review. J Laryngol. 1995 ; 109 : 1124-1127
  10. Bosch K, Kummer E, Hohmann F : Carcinoma of the thyroglossal duct. Neth J Surg. 1986 ; 38 : 36-40
  11. Tew S, Reeve TS, Poole AG, Delbridge L : Papillary thyroid carcinoma arising in thyroglossal duct cysts : incidence and management. Aust N Z J Surg. 1995 ; 65 : 717-718 https://doi.org/10.1111/j.1445-2197.1995.tb00543.x
  12. Widstrom A, Magnusson P, Hallberg 0, Hellqvist H, Riiber H : Adenocarcinoma originating in the thyroglossal duct. Ann Otol Rhinol Laryngol. 1976 ; 85 : 286-290 https://doi.org/10.1177/000348947608500215
  13. Pitt WC, Tani EM, Skoog L : Papillary carcinoma infine needle aspiration smear ofa thyroglossal duct lesion (tetter). Acta Cytol. 1988 ; 32 : 599-601
  14. Shaheen O :Carcinoma arising in thyroglossal duct remnant : case reports and review of the literature. British Journal of Surgery. 1987 ; 62 : 689-691 https://doi.org/10.1002/bjs.1800620904
  15. Patel SG, Escrig M, Shaha AR : Management ofwell-differentiated thyroid carcinoma presenting within a thyroglossal duct cyst. Journal ofSurgical Oncology. 2002 ; 79 : 134-139 https://doi.org/10.1002/jso.10059