Tiroglossal Kanal Kistinden Gelişen Papiller Karsinom: Olgu Sunumu

Öz

Tiroglossal kanal kisti boynun en sık görülen orta hat konjenital anomalisidir. Tiroglossal kanal kistinde papiller karsinom ile tiroid dokusunda papiller karsinom bir arada görülebilir. Bu yazıda 43 yaşında erkek hastada tiroglossal duktus kistinin papiller karsinomu olgusunu sunduk. Hastamızın postoperatif ikinci yıl ultrasonografisinde diş enfeksiyonuna bağlı olarak submandibuler bölgede çok sayıda reaktif lenf nodu mevcuttu ve tiroid sol lobunda yaklaşık 4x3 mm boyutunda kistik nodül tespit edildi. Hastamızın uzun dönem takipten çıkmak istemesi üzerine hastaya total tiroidektomi önerildi. Bizim olgumuzda tiroglossal kist materyalinde papiller karsinom odağı 1 cm’den küçük ve kapsül sağlam olmasına rağmen total tiroidektomi materyalinde 4 mm’lik papiller karsinom odağı tespit edildi. Tiroglossal kistteki papiller karsinomun odağı 1 cm’den küçük ve kapsül sağlam olsa bile tiroid dokusunda papiller ca odağı olabileceği akılda tutulmalı ve hastalar takipten çıkarılmamalıdır.

Anahtar Kelimeler

• Tiroglossal kist
• papiller karsinom
• tiroidektomi

Etik Beyan

hastadan yazılı onam alındı.

Papillary Carcinoma Developing from a Thyroglossal Duct Cyst: A Case Report

Öz

Background: Thyroglossal duct cyst is the most common midline congenital anomaly of the neck. Papillary carcinoma in the thyroglossal duct cyst and papillary carcinoma in the thyroid tissue can be seen together. In this article, we present a case of papillary carcinoma of the thyroglossal ductus cyst in a 43-year-old male patient. In the postoperative second year ultrasonography, our patient had multiple reactive lymph nodes in the submandibular region due to tooth infection and about 4x3 mm cystic nodule was detected in the thyroid left lobe. Total thyroidectomy was recommended to the patient when our patient wanted to exit long -term follow -up. In our case, although the focus of papillary carcinoma is less than 1 cm and the capsule is intact in the thyroglossal cyst material, the focus of 4 mm papillary carcinoma was found in the total thyroidectomy material. Even if the focus of papillary carcinoma in the thyroglossal cyst is smaller than 1 cm and the capsule is intact, it should be kept in mind that there may be a focus of papillary ca in the thyroid tissue and patients should not be excluded from follow-up.

Anahtar Kelimeler

• Thyroglossal cyst
• papillary carcinoma
• thyroidectomy

Etik Beyan

Written informed consent was obtained.

Kaynakça

1. 1. Kinoshita N, Abe K, Sainoo Y, Kumagami H, Takahashi H, Hayashi T. Adenosquamous carcinoma arising in a thyroglossal duct cyst: report of a case. Surg Today 2011;41(4):533-556.
2. 2. Pietruszewska W, Wągrowska-Danilewicz M, Józefowicz-Korczyńska M. Papillary carcinoma in thyroglossal duct cyst with uninvolved thyroid. Case report and review of the literature. Arch Med Sci 2014;27;10(5):1061-1065.
3. 3. Taori K, Rohatgi S, Mahore DM, Dubey J, Saini T. “Papillary carcinoma in a thyroglossal duct cyst” - a case report and review of literature. Indian J Radiol Imaging 2005;15:531-533.
4. 4. Jena A, Patnayak R, Vaikkakara S, Sachan A, Lakhmi AY. Malignancy in thyroid nodule -preoperative role of ultrasound and fine-needle aspiration cytology. Thyroid Res Pract 2016;13:45.
5. 5. Peretz A, Leiberman E, Kapelushnik J, Hershkovitz E. Thyroglossal duct carcinoma in children: case presentation and review of the literature. Thyroid 2004;14(9):777-785.
6. 6. Luna-Ortiz K, Hurtado-Lopez LM, Valderrama-Landaeta JL, Ruiz-Vega A. Thyroglossal duct cyst with papillary carcinoma: what must be done? Thyroid 2004;14:363-366.
7. 7. Van Vuuren PA, Balm AJ, Gregor RT, Hilgers FJ, Loftus BM, Delprat CC, Rutgers EJ. Carcinoma arising in thyroglossal remnants. Clin Otolaryngol Allied Sci 1994;19(6):509-515.
8. 8. Sudharsanan S, Vijayakumar C, Dharanya S, Elamurugan TP, Manwar AS. A rare case of carcinoma in the thyroglossal duct cyst of an elderly patient. Cureus 2017;9:e1365.

9. 9. Wei S, LiVolsi VA, Baloch ZW. Pathology of thyroglossal duct: an institutional experience. Endocr Pathol 2015;26(01):75-79.
10. 10. Rayess HM, Monk I, Svider PF, Gupta A, Raza SN, Lin HS. Thyroglossal duct cyst carcinoma: a systematic review of clinical features and outcomes. Otolaryngol Head Neck Surg 2017;156(5):794-802.
11. 11. Yang S, Park KK, Kim JH. Papillary carcinoma arising from throglossal duct cyst with thyroid and lateral neck metastasis. Int J Surg Case Rep 2013;4(8):704-707.
12. 12. Rossi ED, Martini M, Straccia P, Cocomazzi A, Pennacchia I, Revelli L, Rossi A, Lombardi CP, Larocca LM, Fadda G. Thyroglossal duct cyst cancer most likely arises from a thyroid gland remnant. Virchows Arch 2014;465(1):67-72.
13. 13. Samara C, Bechrakis I, Kavadias S, Papadopoulos A, Maniatis V, Strigaris K. Thyroglossal duct cyst carcinoma. Neuroradiology 2001;43(8):647-649.
14. 14. Wigle TL, Chonkich GD, Wat BY. Papillary duct carcinoma arising in a thyroglossal duct cyst. Otolaryngol Head Neck Surg 1997;116(3):386-388.
15. 15. Branstetter BF, Wiessman JL, Kennedy TL, Whitaker M. The CT appearance of thyroglossal duct carcinoma. Ann J Neuroradiol 2000;21(1):1547-1550.
16. 16. Kılıç Kan E. Ultrasonographic Characteristics of Thyroid Nodules in Predicting the Malignancy and the Role of the Cytopathologist. Med J West Black Sea 2021;5(1):68-73.