Inapparent twin malignancy in thyroglossal cyst: Case Report

World Journal of Surgical Oncology

Moosa Feroze²  Karattuthazhath Karimbayil Rajan¹  Ramachandran Vijay¹ 

[1]Department of General Surgery, Calicut Medical College, Kozhikkode, Kerala, India

[2]Department of Pathology, Calicut Medical College, Kozhikkode, Kerala, India

关键词: Neoplasm;    Tumor;    Sistrunk's procedure, Thyroidectomy;    Thyroglossal Cyst;    Squamous;    Carcinoma;    Papillary;   

Others  :  1207506
DOI  :  10.1186/1477-7819-1-15

 received in 2003-07-02, accepted in 2003-08-27,  发布年份 2003

【 摘 要 】

Background

Although malignancy has been reported in thyroglossal cysts, synchronous occurrence of two malignancies is extremely rare.

Case Report

A case of concurrent papillary and squamous carcinoma arising in the thyroglossal cyst is presented here.

Conclusions

Papillary and squamous carcinoma simultaneously occurring in a thyroglossal cyst is rarely diagnosed prior to surgery and pose a therapeutic dilemma. In view of the extreme rarity of the condition, controversies do exist regarding the optimal strategy to be adopted. The ideal procedure needs to be individually tailored and involve a combination of surgery, radio ablation, thyroid suppression and external radiotherapy.

【 授权许可】

   
2003 Vijay et al; licensee BioMed Central Ltd. This is an Open Access article: verbatim copying and redistribution of this article are permitted in all media for any purpose, provided this notice is preserved along with the article's original URL.

【 图 表 】

Figure 1.

Figure 2.

【 参考文献 】

• [1]Allard RHB: The thyroglossal cyst. Head Neck Surg 1982, 5:134-146.
• [2]Nussbaum M, Buchwald RP, Ribner A, Mori K, Litwins J: Anaplastic carcinoma arising from median ectopic thyroid (thyroglossal duct remnant). Cancer 1981, 48:2724-2728.
• [3]Renard TH, Choucair RJ, Stevenson WD, Brooks WC, Poulos E: Carcinoma of the thyroglossal duct. Surg Gynecol Obstet 1990, 171:305-308.
• [4]Ronan SG, Deutsch E, Ghosh L: Thyroglossal duct carcinoma: light and electron microscopic studies. Head Neck Surg 1986, 8:222-225.
• [5]Kwan WB, Liu FF, Banerjee D, Rotstein LE, Tsang RW: Concurrent papillary and squamous carcinoma in a thyroglossal duct cyst: A case report. Can J Surg 1996, 39:328-332.
• [6]Ellis P, van Nostrand AW: The applied anatomy of thyroglossal tract remnants. Laryngoscope 1977, 87:765-770.
• [7]Bhagavan VS, Rao DR, Weinberg T: Carcinoma of thyroglossal duct cyst: Case report and review of the literature. Surgery 1970, 67:281-292.
• [8]Yildiz K, Koksal H, Ozpran Y, Muhtar H, Telatar M: Papillary carcinoma in a thyroglossal duct remnant with normal thyroid gland. J Laryngol Otol 1993, 107:1174-1176.
• [9]LaRouere MJ, Drake AF, Baker SR, Richter HJ, Magielski JE: Evaluation and management of a carcinoma arising in a thyroglossal duct cyst. Am J Otolaryngol 1987, 8:351-355.
• [10]Martin Perez M, Burguno Garcia M, Echevarria Iturbe C, Martinez Perez D: Papillary carcinoma arising in a thyroglossal duct cyst: Report of two cases. J Oral Maxillofac Surg 1993, 51:89-93.
• [11]Hilger AW, Thompson SD, Smallman LA, Watkinson JC: Papillary carcinoma arising in a thyroglossal duct cyst: A case report and literature review. J laryngol Otol 1995, 109:1124-1127.
• [12]Jacques DA, Chambers RG, Oertel JE: Thyroglossal tract carcinoma: A review of the literature and addition of eighteen cases. Am J Surg 1970, 120:439-446.
• [13]Cignarelli M, Ambrosi A, Marino A, Lamacchia O, Cincione R, Neri V: Three cases of papillary carcinoma and three of adenoma in thyroglossal duct cysts: clinical – diagnostic comparison with benign thyroglossal duct cysts. J Endocrinol Invest 2002, 25:947-954.
• [14]Branstetter BF, Weismann JL, Kennedy TL, Whitaker M: The CT appearance of thyroglossal duct carcinoma. Am J Neuroradiol 2000, 21:1547-1550.
• [15]Schlumberger MJ: Papillary and follicular thyroid carcinoma. N Engl J Med 1998, 338:297-306.
• [16]McNicoll MP, Hawkins DB, England K, Penny R, Maceri DR: Papillary carcinoma arising in a thyroglossal duct cyst. Otolaryngol Head Neck Surg 1989, 99:50-54.
• [17]Chen F, Sheridan B, Nankervis J: Carcinoma of the thyroglossal duct: Case reports and a literature review. Aust NZ J Surg 1993, 63:614-616.
• [18]Weiss SD, Orlich CC: Primary papillary carcinoma of a thyroglossal duct cyst: Report of a case and a literature review. Br J Surg 1991, 78:87-89.
• [19]Kum CK, Goh P, Teh M: Papillary carcinoma arising in a thyroglossal cyst. Aust NZ J Surg 1993, 63:738-740.
• [20]Maziak D, Borowy ZJ, Deitel M, Jaksic T, Ralph-Edwards A: Management of papillary carcinoma arising in thyroglossal duct anlage. Can J Surg 1992, 35:522-525.
• [21]Bosch K, Kummer E, Hohmann F: Carcinoma of the thyroglossal duct. Neth J Surg 1986, 38:36-40.