Hostname: page-component-586b7cd67f-vdxz6 Total loading time: 0 Render date: 2024-12-03T20:45:44.458Z Has data issue: false hasContentIssue false

Ectopic thyroid malignancy in the midline of the neck

Published online by Cambridge University Press:  29 June 2007

Malcolm R. Laing*
Affiliation:
Aberdeen
Kenneth A. Mclay
Affiliation:
Aberdeen
*
Malcolm R. Laing, Department of Otolaryngology, Aberdeen Royal Infirmary, Foresterhill, Aberdeen AB9 2ZB.

Summary

A 71-year-old female presented with a midline neck mass. The clinical impression was that of a thyroglossal cyst but preoperative assessment suggested a solid lesion, possibly malignant. The mass was removed surgically using the Sistrunk technique and shown pathologically to be a mixed papillary-follicular carcinoma of the thyroid with no cystic elements. Clinically and radiologically the thyroid was normal and thyroidectomy was not performed. This management is discussed along with a brief review of the relevant literature on the pathology and treatment of similar lesions.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1988

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

Judd, E. S. (1963) Thyroglossal cysts and sinuses. Surgical Clinics of North America, 43: 1023.CrossRefGoogle Scholar
Livolsi, V. A., Perzin, K. H. and Savetsky, L. (1974) Carcinoma arising in median ectopic thyroid. Cancer, 34: 13031315.3.0.CO;2-S>CrossRefGoogle ScholarPubMed
Nussbaum, M., Buchwald, R. P. and Ribner, A. (1981) Anaplastic carcinoma arising from a median ectopic thyroid (thyroglossal duct remnant) Cancer, 48: 27242728.3.0.CO;2-1>CrossRefGoogle ScholarPubMed
Nuttal, F. Q. (1965) Cystic metastases from papillary adenocarcinoma of the thyroid with comments concerning carcinoma associated with thyroglossal remnant. American Journal of Surgery, 109: 500505.CrossRefGoogle Scholar
Owen, H. R. and lngleby, H. (1927) Carcinoma of the thyroglossal duct. Annals of Surgery, 85: 132136.Google Scholar
Roses, D. F.Snively, S. L., Phelps, R. G., Cohen, N. and Blum, M. (1983) Carcinoma of the thyroglossal duct. American Journal of Surgery, 145(2): 266269.CrossRefGoogle ScholarPubMed
Sistrunk, W. (1928) Technique of removal of cyst and sinus of the thyroglossal duct. Surgery, Gynecology and Obstetrics, 46: 109112.Google Scholar
Stone, A. R. and Miln, D. C. (1976) Thyroglossal cyst carcinoma. Case presentation and a review of normal thyroglossal cysts. British Journal of Clinical Practice, 42: 233237.Google Scholar
Widstrom, A., Magnusson, P., Hallberg, O., Hellqvist, H. and Riber, H. (1976) Adenocarcinoma originating in the thyroglossal duct. Annals of Otology, Rhinology and Laryngology, 85: 286290.CrossRefGoogle ScholarPubMed