An unusual presentation of a thyroglossal duct cyst with cutaneous extrusion
Background: Thyroglossal duct cysts (TGDC) are the most common form of congenital cysts in the head and neck and usually presents as a midline neck mass at the level of the thyrohyoid membrane. We report a case of an atypical presentation of a thyroglossal duct cyst with cutaneous extrusion. To our...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2023-03-01
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| Series: | Otolaryngology Case Reports |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468548822001060 |
| Summary: | Background: Thyroglossal duct cysts (TGDC) are the most common form of congenital cysts in the head and neck and usually presents as a midline neck mass at the level of the thyrohyoid membrane. We report a case of an atypical presentation of a thyroglossal duct cyst with cutaneous extrusion. To our knowledge, this is the first case to be reported in the English literature. Methods: A 92-year-old female presented with a 5-year history of an ulcerated midline neck mass with anterior cutaneous extrusion. A computer tomography (CT) scan of the neck showed a cystic mass posteroinferior to the hyoid bone highly suggestive of a thyroglossal duct cyst. Written informed consent from the patient's family was obtained for this case report. Results: The patient underwent a modified Sistrunk procedure and final histopathology confirmed it to be a thyroglossal duct cyst measuring 10cm in its largest dimension. The patient tolerated the procedure well. Conclusion: Cutaneous extrusion of a thyroglossal duct cyst is extremely rare. Although skin ulceration usually suggests underlying malignancy, benign entities may also result in such aggressive presentations. A differential diagnosis of a carcinoma should be considered in an ulcerative midline mass with close relations to the hyoid bone. |
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| ISSN: | 2468-5488 |