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Obstructive sleep apnoea in a case of thyroglossal duct cyst carcinoma

Published online by Cambridge University Press:  15 June 2012

A X See ,
D Y K Chua ,
Y M Chan  and
C H K Goh
A X See
Affiliation:
Yong Loo Lin School of Medicine, National University of Singapore, Republic of Singapore
D Y K Chua*
Affiliation:
Department of Otolaryngology, Singapore General Hospital, Republic of Singapore
Y M Chan
Affiliation:
Department of Otolaryngology, Singapore General Hospital, Republic of Singapore
C H K Goh
Affiliation:
Department of Otolaryngology, Singapore General Hospital, Republic of Singapore
*
Address for correspondence: Dr D Y K Chua, Department of Otolaryngology, Singapore General Hospital, Outram Road, Singapore169608 E-mail: [email protected]
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Abstract

Objectives:

To report a rare case of thyroglossal duct cyst carcinoma which presented with obstructive sleep apnoea, and to highlight the difficulties in making this clinical diagnosis.

Method:

Case report and review of the English language literature concerning thyroglossal duct cyst carcinoma.

Results:

Thyroglossal duct cyst carcinoma is a rare clinical entity found in only approximately 1 per cent of all patients operated upon for thyroglossal duct cyst. This condition usually presents in an identical manner to its benign counterpart; atypical presentations have not previously been reported. Our patient is the first reported case of a thyroglossal duct cyst carcinoma first presenting with symptoms of obstructive sleep apnoea, without a neck mass. Complete surgical excision with total thyroidectomy and lymph node clearance was performed, in view of the positive lymph node metastases (seen on imaging) and the need for post-operative radioiodine therapy.

Conclusion:

Thyroglossal duct cyst carcinomas may present atypically, posing a diagnostic dilemma for the clinician. For patients diagnosed with obstructive sleep apnoea, it is imperative that a thorough otolaryngological examination be performed to exclude any underlying pathology.

Keywords

Thyroglossal Duct CystCarcinomaObstructive Sleep ApnoeaSymptomsAirway Obstruction
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 8 , August 2012 , pp. 864 - 866
Copyright
Copyright © JLO (1984) Limited 2012

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Footnotes

Presented at the 14th ASEAN ORL Head & Neck Congress, 12–14 May 2011, Sarawak, Malaysia

References

1 Motamed, M, McGlashan, JA. Thyroglossal duct carcinoma. Curr Opin Otolaryngol Head Neck Surg 2004;12:106–9CrossRefGoogle ScholarPubMed
2 Yang, YJ, Haghir, S, Wanamaker, JR, Powers, CN. Diagnosis of papillary carcinoma in a thyroglossal duct cyst by fine-needle aspiration biopsy. Arch Pathol Lab Med 2000;124:139–42CrossRefGoogle Scholar
3 Bardales, RH, Suhrland, MJ, Korourian, S, Schaefer, RF, Hanna, EY, Stanley, MW. Cytologic findings in thyroglossal duct carcinoma. Am J Clin Pathol 1996;106:615–9CrossRefGoogle ScholarPubMed
4 Patel, SG, Escrig, M, Shaha, AR, Singh, B, Shah, JP. Management of well-differentiated thyroid carcinoma presenting within a thyroglossal duct cyst. J Surg Oncol 2002;79:134–9CrossRefGoogle ScholarPubMed
5 Miccoli, P, Minuto, MN, Galleri, D, Puccini, M, Berti, P. Extent of surgery in thyroglossal duct carcinoma: reflections on a series of eighteen cases. Thyroid 2004;14:121–3CrossRefGoogle ScholarPubMed
6 Torcivia, A, Polliand, C, Ziol, M, Dufour, F, Champault, G, Barrat, C. Papillary carcinoma of the thyroglossal duct cyst: report of two cases. Rom J Morphol Embryol 2010;51:775–7Google ScholarPubMed
7 Sauvageau, A, Belley-Côté, EP, Racette, S. Fatal asphyxia by a thyroglossal duct cyst in an adult. J Clin Forensic Med 2006;13:349–52CrossRefGoogle ScholarPubMed
8 Purdom, E, Robitschek, J, Littlefield, PD, Cable, B. Acute airway obstruction from a thyroglossal duct cyst. Otolaryngol Head Neck Surg 2007;136:317–8CrossRefGoogle ScholarPubMed
9 Brown, EG, Albernaz, MS, Emery, MT. Thyroglossal duct cyst causing airway obstruction in an adult. Ear Nose Throat J 1996;75:530–2CrossRefGoogle ScholarPubMed