Hostname: page-component-586b7cd67f-gb8f7 Total loading time: 0 Render date: 2024-11-28T04:16:13.619Z Has data issue: false hasContentIssue false

Papillary carcinoma arising in a thyroglossal duct cyst: a case report and literature review

Published online by Cambridge University Press:  29 June 2007

Andreas W. Hilger*
Affiliation:
Department of Otolaryngology/Head and Neck Surgery, Queen Elizabeth Hospital, Edgbaston, Birmingham
Stuart D. Thompson
Affiliation:
Department of Otolaryngology/Head and Neck Surgery, Queen Elizabeth Hospital, Edgbaston, Birmingham
Lesley A. Smallman
Affiliation:
Department of Pathologyt, Medical School, University of Birmingham
John C. Watkinson
Affiliation:
Department of Otolaryngology/Head and Neck Surgery, Queen Elizabeth Hospital, Edgbaston, Birmingham
*
Mr A. W. Hilger, Department of Otolaryngology/Head and Neck Surgery, Queen Elizabeth Hospital, Edgbaston, Birmingham B15 2TH.

Abstract

Papillary carcinoma arising in a thyroglossal duct cyst is a rare finding. Less than 100 cases have been reported in the English literature. In most cases the diagnosis is only established after excision of a clinically benign thyroglossal duct cyst. The aetiology of such tumours is unclear but de novo origin and spread from a primary thyroid gland tumour has been suggested. This has important implications for therapeutic approaches. A further case of thyroglossal duct carcinoma is presented and the management is discussed on the basis of the current rationale for treatment of thyroid cancer.

Type
Pathology in Focus
Copyright
Copyright © JLO (1984) Limited 1995

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Allard, R. H. (1982) The thyroglossal cyst. Head and Neck Surgery 5: 134146.CrossRefGoogle ScholarPubMed
Choy, F. J., Ward, R., Richardson, P. (1964) Carcinoma of the thyroglossal duct. American Journal of Surgery 108: 361369.CrossRefGoogle ScholarPubMed
Jaques, D. A., Chambers, R. G., Oertel, J. E. (1970) Thyroglossal tract carcinoma. American Journal of Surgery 120: 439446.CrossRefGoogle ScholarPubMed
Joseph, T. J., Komorowski, R. A. (1975) Thyroglossal duct carcinoma. Human Pathology 6: 717729.CrossRefGoogle ScholarPubMed
Judd, E. S. (1963) Thyroglossal duct cyst and sinuses. Surgical Clinics of North America 43: 10231032.CrossRefGoogle Scholar
Kristensen, S., Juul, A., Moesner, J. (1984) Thyroglossal cyst carcinoma. Journal of Laryngology and Otology 98: 12771280.CrossRefGoogle ScholarPubMed
LiVolsi, V. A., Perzin, K. H., Savetsky, L. (1974) The thyroglossal cyst. Cancer 34: 13031315.3.0.CO;2-S>CrossRefGoogle Scholar
LiVolsi, V. A. (1990) Surgical Pathology of the Thyroid, ch. 16. Saunders, Philadelphia/London/Toronto/Montreal/Sydney/Tokyo, pp 351363.Google Scholar
Myer, C. M., Cotton, R. T. (1990) Congenital thyroid cysts and ectopic thyroid. In Thyroid disease: Endocrinology, Surgery, Nuclear Medicine and Radiotherapy. (Falk, S. A., ed.). Raven Press, New York, pp 381388.Google Scholar
Nussbaum, M., Buchwald, R. P., Ribner, A., Mori, C, Litwins, J. (1981) Anaplastic carcinoma from median ectopic thyroid (thyroglossal duct remnants). Cancer 48: 27242728.3.0.CO;2-1>CrossRefGoogle Scholar
Page, C. P., Kemmerer, W. T., Roderick, C. H., Mazzaferri, E. L. (1974) Thyroid carcinoma arising in thyroglossal cysts. Annals of Surgery 180: 799803.CrossRefGoogle Scholar
Saharia, P. C. (1975) Carcinoma arising in thyroglossal duct remnant: case reports and review of the literature. British Journal of Surgery 62: 689691.CrossRefGoogle ScholarPubMed
Shaheen, O. (1987) Thyroid neoplasms. In Scott-Brown's Otolaryngology. Vol. 5. 5th Edition. (Stell, P. M., ed.), Butterworths, London/Boston/Durban/Singapore/Sydney/Toronto/Wellington, pp 301314.Google Scholar
Sistrunk, W. (1928) Technique for removal of cyst and sinuses of the thyroglossal duct. Surgery, Gynecology and Obstetrics 46: 109112.Google Scholar
van Vuuren, P. A. C, Balm, A. J. M., Gregor, R. T., Hilgers, F. J. M., Loftus, B. M., Delprat, C. C, Rutgers, E. J. T. (1994) Carcinoma arising in thyroglossal remnant. Clinical Otolaryngology 19: 509515.CrossRefGoogle Scholar