Inapparent twin malignancy in thyroglossal cyst: Case Report
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Case report
Inapparent twin malignancy in thyroglossal cyst: Case Report Ramachandran Vijay*1, Karattuthazhath Karimbayil Rajan1 and Moosa Feroze2 Address: 1Department of General Surgery, Calicut Medical College, Kozhikkode, Kerala, India and 2Department of Pathology, Calicut Medical College, Kozhikkode, Kerala, India Email: Ramachandran Vijay* - [email protected]; Karattuthazhath Karimbayil Rajan - [email protected]; Moosa Feroze - [email protected] * Corresponding author
Published: 27 August 2003 World Journal of Surgical Oncology 2003, 1:15
Received: 02 July 2003 Accepted: 27 August 2003
This article is available from: http://www.wjso.com/content/1/1/15 © 2003 Ramachandran 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.
PapillaryCarcinomaSquamousThyroglossal CystSistrunk's procedure, ThyroidectomyTumorNeoplasm
Abstract 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.
Introduction Malignant neoplasms rarely arise in thyroglossal cysts [1,2]. Papillary carcinoma predominates among them. Squamous carcinoma accounts for only 5 % of the cases [3]. Only two cases of concurrent papillary and squamous carcinoma have been reported so far [4,5]. Lack of an accurate preoperative diagnosis, rarity of the condition, and the possibility of an associated thyroid malignancy duly contribute to the confusion regarding the optimal management of this condition. We present one such case and discuss the various therapeutic options.
Case Report A 48-year-old man presented with a swelling in the front of neck for past one year associated with a recent increase
in size and hoarseness of voice. On examination, he was found to have a 5 × 6 cm cystic, non-transilluminant swelling below the hyoid, which moved with deglutition and protrusion of tongue but had restricted intrinsic mobility. Indirect laryngoscopic examination was unremarkable. Fine needle aspiration cytology was carried out which revealed thyroglossal cyst. Routine hematological and biochemical investigations and chest X roentgenogram were normal. With a preoperative diagnosis of thyroglossal cyst, Sistrunk's procedure was planned. On exploration of the neck at surgery he was found to have two cystic swellings intimately related to each
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