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 |
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Elsevier
2023-03-01
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| Series: | Otolaryngology Case Reports |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468548822001060 |
| _version_ | 1797936393105702912 |
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| author | Elaine Huang John Loh Maria CY. Pang Leonard Tan |
| author_facet | Elaine Huang John Loh Maria CY. Pang Leonard Tan |
| author_sort | Elaine Huang |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-10T18:29:06Z |
| format | Article |
| id | doaj.art-a975ed94b3744264bd67dde3249dcb3c |
| institution | Directory Open Access Journal |
| issn | 2468-5488 |
| language | English |
| last_indexed | 2024-04-10T18:29:06Z |
| publishDate | 2023-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Otolaryngology Case Reports |
| spelling | doaj.art-a975ed94b3744264bd67dde3249dcb3c2023-02-02T04:49:22ZengElsevierOtolaryngology Case Reports2468-54882023-03-0126100497An unusual presentation of a thyroglossal duct cyst with cutaneous extrusionElaine Huang0John Loh1Maria CY. Pang2Leonard Tan3Corresponding author.; Department of Otorhinolaryngology, Head and Neck Surgery, Changi General Hospital, SingaporeDepartment of Otorhinolaryngology, Head and Neck Surgery, Changi General Hospital, SingaporeDepartment of Otorhinolaryngology, Head and Neck Surgery, Changi General Hospital, SingaporeDepartment of Otorhinolaryngology, Head and Neck Surgery, Changi General Hospital, SingaporeBackground: 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.http://www.sciencedirect.com/science/article/pii/S2468548822001060 |
| spellingShingle | Elaine Huang John Loh Maria CY. Pang Leonard Tan An unusual presentation of a thyroglossal duct cyst with cutaneous extrusion Otolaryngology Case Reports |
| title | An unusual presentation of a thyroglossal duct cyst with cutaneous extrusion |
| title_full | An unusual presentation of a thyroglossal duct cyst with cutaneous extrusion |
| title_fullStr | An unusual presentation of a thyroglossal duct cyst with cutaneous extrusion |
| title_full_unstemmed | An unusual presentation of a thyroglossal duct cyst with cutaneous extrusion |
| title_short | An unusual presentation of a thyroglossal duct cyst with cutaneous extrusion |
| title_sort | unusual presentation of a thyroglossal duct cyst with cutaneous extrusion |
| url | http://www.sciencedirect.com/science/article/pii/S2468548822001060 |
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