Papillary carcinoma of the thyroglossal duct cyst: Is thyroidectomy necessary?

Abstract

Thyroglossal duct cyst is the most frequent midline congenital neck anomaly. Carcinoma of the thyroglossal duct cyst is a rare entity, and papillary carcinoma is the most frequent malignancy of this uncommon entity. There are a limited number of studies on this subject in the literature, and in some series, it is associated with papillary thyroid carcinoma. There is no consensus on prophylactic thyroidectomy after diagnosis. In this study, a case, operated for thyroglossal duct cyst and diagnosed with papillary carcinoma and our approach consisting of follow-up without thyroidectomy are presented in light of the current literature.

Keywords

• Thyroglossal duct cyst
• papillary carcinoma
• Thyroidectomy

Tiroglossal duktus kisti papiller karsinomu: Tiroidektomi gerekli mi?

Öz

Tiroglossal kanal kisti en sık görülen orta hat konjenital boyun anomalisidir. Tiroglossal kanal kisti karsinomu nadir görülen bir durumdur. Papiller karsinom, bu nadir görülen varlığın en sık görülen malignitesidir. Literatürde bu konuyla ilgili kısıtlı sayıda çalışma vardır ve bazı serilerde bu durum tiroid papiller karsinomu ile birliktelik göstermektedir. Tanıdan sonra profilaktik tiroidektomi konusunda fikir birliği yoktur. Bu çalışmada, papiller karsinom tanısı konan tiroglossal kanal kisti için opere edilen ve tiroidektomi olmadan takip yaklaşımımız güncel literatür bilgisi ışığında sunulmuştur.

Anahtar Kelimeler

• Tiroglossal kanal kisti
• Papiller karsinom
• Tiroidektomi

Kaynakça

1. 1. Vincent S, Synhorst II J. Adenocarcinoma arising in a thyroglossal duct cyst. J. Oral Maxillofac Surg. 1989;47:633-5.
2. 2. Allard R. The thyroglossal cyst. Head Neck Surg. 1982;5:134-46.
3. 3. Fernandez J, Ordonez N, Shultz P, Samaan N, Hickey R. Thyroglossal duct carcinoma. Surgery. 1991;110:928-35.
4. 4. Van Vuuren PA, Balm AJ, Gregor RT, Hilgers FJ, Loftus BM, Delprat CC, et al. Carcinoma arising in thyroglossal remnants. Clin Otolaryngol Allied Sci. 1994;19:509-15
5. 5. Glastonbury CM, Davidson HC, Haller JR, Harnsberger HR. The CT and MR imaging features of carcinoma arising in thyroglossal duct remnants. AJNR Am J Neuroradiol. 2000;21:770-4.
6. 6. Bdesha AS, Layer GT. Primary papillary carcinoma of a thyroglossal duct cyst: A report of a case and literature review. Br J Surg. 1992;79:1248-9.
7. 7. Widström A, Magnusson P, Hallberg O, Hellqvist H, Riiber H. Adenocarcinoma originating in the thyroglossal duct. Ann Otol Rhinol Laryngol 1976;85:286-90.
8. 8. Çayır D, Kulah B. Effects of preoperative fine needle aspiration biopsy on surgical strategy in patients with papillary thyroid carcinomas. J Surg Med. 2019;3(9):655-8.

9. 9. Boswell WC, Zoller M, Williams JS, Lord SA, Check W. Thyroglossal duct carcinoma. Am Surg. 1994;60:650-5. 10. Doshi SV, Cruz RM, Hilsinger RL Jr. Thyroglossal duct carcinoma: a large case series. Ann Otol Rhinol Laryngol. 2001;110:734-8.