Tiroglossal Kanal Kistinden Gelişen Papiller Karsinom: Olgu Sunumu

Yıl 2024, Cilt: 8 Sayı: 1, 85 - 89, 28.04.2024

Mehmet Ali Say , Sami Açar

https://doi.org/10.29058/mjwbs.1385419

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.

Destekleyen Kurum

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Teşekkür

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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.

Destekleyen Kurum

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Teşekkür

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Kaynakça

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