Ultrasonographic features differentiating thyroglossal duct cysts from dermoid cysts

Purpose The purpose of this study was to identify ultrasonographic features that can be used to differentiate between thyroglossal duct cysts (TGDCs) and dermoid cysts (DCs). Methods We searched surgical pathology reports completed between January 2004 and October 2015 and identified 66 patients wit...

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Main Authors: Hyoung In Choi, Young Hun Choi, Jung-Eun Cheon, Woo Sun Kim, In-One Kim
Format: Article
Language:English
Published: Korean Society of Ultrasound in Medicine 2018-01-01
Series:Ultrasonography
Subjects:
Online Access:http://www.e-ultrasonography.org/upload/usg-17027.pdf
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author Hyoung In Choi
Young Hun Choi
Jung-Eun Cheon
Woo Sun Kim
In-One Kim
author_facet Hyoung In Choi
Young Hun Choi
Jung-Eun Cheon
Woo Sun Kim
In-One Kim
author_sort Hyoung In Choi
collection DOAJ
description Purpose The purpose of this study was to identify ultrasonographic features that can be used to differentiate between thyroglossal duct cysts (TGDCs) and dermoid cysts (DCs). Methods We searched surgical pathology reports completed between January 2004 and October 2015 and identified 66 patients with TGDCs or DCs who had undergone preoperative ultrasonography. The ultrasound images were reviewed by two radiologists who were blinded to the pathological diagnosis. They evaluated the following parameters: dimensions, shape, margin, location in relation to the midline, level in relation to the hyoid bone, attachment to the hyoid bone, the depth of the lesion in relation to the strap muscles, internal echogenicity, internal echogenic dots, multilocularity, the presence of a longitudinal extension into the tongue base, posterior acoustic enhancement, the presence of internal septae, and intralesional vascularity. Results There were 50 TGDCs and 16 DCs. TGDCs were significantly more likely than DCs to have an irregular shape, an ill-defined margin, attachment to the hyoid bone, an intramuscular location, heterogeneous internal echogenicity, multilocularity, and longitudinal extension into the tongue base. Conclusion Ultrasound findings may inform the differential diagnosis between TGDCs and DCs.
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spelling doaj.art-a6b100db742d4808999ed8f9eb5597872022-12-22T00:28:00ZengKorean Society of Ultrasound in MedicineUltrasonography2288-59192288-59432018-01-01371717710.14366/usg.17027189Ultrasonographic features differentiating thyroglossal duct cysts from dermoid cystsHyoung In Choi0Young Hun Choi1Jung-Eun Cheon2Woo Sun Kim3In-One Kim4 Department of Radiology, Seoul National University Hospital, Seoul, Korea Department of Radiology, Seoul National University Hospital, Seoul, Korea Department of Radiology, Seoul National University Hospital, Seoul, Korea Department of Radiology, Seoul National University Hospital, Seoul, Korea Department of Radiology, Seoul National University Hospital, Seoul, KoreaPurpose The purpose of this study was to identify ultrasonographic features that can be used to differentiate between thyroglossal duct cysts (TGDCs) and dermoid cysts (DCs). Methods We searched surgical pathology reports completed between January 2004 and October 2015 and identified 66 patients with TGDCs or DCs who had undergone preoperative ultrasonography. The ultrasound images were reviewed by two radiologists who were blinded to the pathological diagnosis. They evaluated the following parameters: dimensions, shape, margin, location in relation to the midline, level in relation to the hyoid bone, attachment to the hyoid bone, the depth of the lesion in relation to the strap muscles, internal echogenicity, internal echogenic dots, multilocularity, the presence of a longitudinal extension into the tongue base, posterior acoustic enhancement, the presence of internal septae, and intralesional vascularity. Results There were 50 TGDCs and 16 DCs. TGDCs were significantly more likely than DCs to have an irregular shape, an ill-defined margin, attachment to the hyoid bone, an intramuscular location, heterogeneous internal echogenicity, multilocularity, and longitudinal extension into the tongue base. Conclusion Ultrasound findings may inform the differential diagnosis between TGDCs and DCs.http://www.e-ultrasonography.org/upload/usg-17027.pdfThyroglossal cystDermoid cystPediatricsNeck massUltrasonography
spellingShingle Hyoung In Choi
Young Hun Choi
Jung-Eun Cheon
Woo Sun Kim
In-One Kim
Ultrasonographic features differentiating thyroglossal duct cysts from dermoid cysts
Ultrasonography
Thyroglossal cyst
Dermoid cyst
Pediatrics
Neck mass
Ultrasonography
title Ultrasonographic features differentiating thyroglossal duct cysts from dermoid cysts
title_full Ultrasonographic features differentiating thyroglossal duct cysts from dermoid cysts
title_fullStr Ultrasonographic features differentiating thyroglossal duct cysts from dermoid cysts
title_full_unstemmed Ultrasonographic features differentiating thyroglossal duct cysts from dermoid cysts
title_short Ultrasonographic features differentiating thyroglossal duct cysts from dermoid cysts
title_sort ultrasonographic features differentiating thyroglossal duct cysts from dermoid cysts
topic Thyroglossal cyst
Dermoid cyst
Pediatrics
Neck mass
Ultrasonography
url http://www.e-ultrasonography.org/upload/usg-17027.pdf
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AT jungeuncheon ultrasonographicfeaturesdifferentiatingthyroglossalductcystsfromdermoidcysts
AT woosunkim ultrasonographicfeaturesdifferentiatingthyroglossalductcystsfromdermoidcysts
AT inonekim ultrasonographicfeaturesdifferentiatingthyroglossalductcystsfromdermoidcysts