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- Title
Primary Papillary Carcinoma of a Thyroglossal Duct Cyst
- Authors
Lin, Yu-Hsing; Tsai, Sen-Tien; Ho, Hsu-Cheuh
- Abstract
Abstract: The incidence of papillary carcinoma arising in a thyroglossal duct cyst (TDC) is rare and occurs in about 1% of TDCs. Slightly more than 100 cases have been reported in the English literature. In most cases, the diagnosis is only established after excision of a clinically benign TDC. We report a case of papillary carcinoma arising in a TDC, presenting with an anterior neck mass in a 70-year-old man, who underwent a Sistrunk procedure for removal of the mass and an adherent lymph node. A second, more extensive operation was indicated based on pathologic findings after the initial dissection. Based on the histopathologic findings, the patient received postoperative I131 ablation treatment (120 mCi). After 2 years, there was no evidence of disease recurrence. This type of carcinoma usually has a good prognosis, with only rare instances of metastasis, and can be successfully managed with surgery and careful follow-up.
- Subjects
THYROID cancer; DISEASE incidence; CYSTS (Pathology); THYROIDECTOMY; METASTASIS; CANCER prognosis; ONCOLOGIC surgery; LYMPH nodes
- Publication
Tzu Chi Medical Journal, 2008, Vol 20, Issue 2, p150
- ISSN
1016-3190
- Publication type
Article
- DOI
10.1016/S1016-3190(08)60028-2