Cirugía y Cirujanos

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>Journals >Cirugía y Cirujanos >Year 2008, Issue 5

Miranda-Aguirre AP, Soto-Amaro J, García-Gallardo J
Thyroglossal duct carcinoma: case report and literature review
Cir Cir 2008; 76 (5)

Language: Español
References: 34
Page: 429-434
PDF: 118.92 Kb.

[Full text - PDF]


Background: Thyroglossal duct cyst carcinoma is a rare disease with a prevalence of ~1%. Preoperative diagnosis of a thyroglossal duct carcinoma is uncommon and is based on the cytopathological examination of fine-needle aspiration (FNA) specimens, although it has low sensitivity. Optimal treatment for thyroglossal duct carcinoma is the Sistrunk procedure; nevertheless, controversies exist regarding the benefit of total thyroidectomy, postoperative radioactive iodine therapy, and suppression with thyroid hormone or radiotherapy.
Clinical case: We present the case of a 32-year-old female with a midline neck tumor, which was diagnosed as a thyroglossal duct cyst. The Sistrunk procedure was used without complications. Histological examination revealed papillary carcinoma in the thyroglossal duct. The patient underwent total thyroidectomy, postoperative radioactive iodine and thyroid hormone suppression.
Conclusions: Initial evaluation includes meticulous exploration, ultrasound and FNA. Treatment for this type of carcinoma must be individualized for each patient considering total thyroidectomy as an option for all high-risk patients. Our patient had a successful evolution.

Key words: Thyroglossal duct, thyroglossal cyst, papillary carcinoma, Sistrunk procedure, total thyroidectomy.

>Journals >Cirugía y Cirujanos >Year 2008, Issue 5
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