AI Summary & Key Takeaways
AI InsightEven if the focus of papillary carcinoma in the thyroglossal cyst is smaller than 1 cm and the capsule is intact, it should be kept in mind that there may be a focus of papillary ca in the thyroid tissue and patients should not be excluded from follow-up.
📌 3 Key Takeaways
Abstract
Background: Thyroglossal duct cyst is the most common midline congenital anomaly of the neck. Papillary carcinoma in the thyroglossal duct cyst and papillary carcinoma in the thyroid tissue can be seen together. In this article, we present a case of papillary carcinoma of the thyroglossal ductus cyst in a 43-year-old male patient. In the postoperative second year ultrasonography, our patient had multiple reactive lymph nodes in the submandibular region due to tooth infection and about 4x3 mm cystic nodule was detected in the thyroid left lobe. Total thyroidectomy was recommended to the patient when our patient wanted to exit long -term follow -up. In our case, although the focus of papillary carcinoma is less than 1 cm and the capsule is intact in the thyroglossal cyst material, the focus of 4 mm papillary carcinoma was found in the total thyroidectomy material. Even if the focus of papillary carcinoma in the thyroglossal cyst is smaller than 1 cm and the capsule is intact, it should be kept in mind that there may be a focus of papillary ca in the thyroid tissue and patients should not be excluded from follow-up.
Özet
Tiroglossal kanal kisti boynun en sık görülen orta hat konjenital anomalisidir. Tiroglossal kanal kistinde papiller karsinom ile tiroid dokusunda papiller karsinom bir arada görülebilir. Bu yazıda 43 yaşında erkek hastada tiroglossal duktus kistinin papiller karsinomu olgusunu sunduk. Hastamızın postoperatif ikinci yıl ultrasonografisinde diş enfeksiyonuna bağlı olarak submandibuler bölgede çok sayıda reaktif lenf nodu mevcuttu ve tiroid sol lobunda yaklaşık 4x3 mm boyutunda kistik nodül tespit edildi. Hastamızın uzun dönem takipten çıkmak istemesi üzerine hastaya total tiroidektomi önerildi. Bizim olgumuzda tiroglossal kist materyalinde papiller karsinom odağı 1 cm’den küçük ve kapsül sağlam olmasına rağmen total tiroidektomi materyalinde 4 mm’lik papiller karsinom odağı tespit edildi. Tiroglossal kistteki papiller karsinomun odağı 1 cm’den küçük ve kapsül sağlam olsa bile tiroid dokusunda papiller ca odağı olabileceği akılda tutulmalı ve hastalar takipten çıkarılmamalıdır.