Thyroglossal cyst malignancy: Two cases of exception
DOI:
https://doi.org/10.34631/sporl.798Palavras-chave:
quiste tirogloso, cancer, carcinoma, tiroidesResumo
Introduction: the thyroglossal duct cyst (TDC) is the most common congenital malformation in the neck. It is usually a benign tumor, but can suffer malignant transformation. The majority of cases of TDC occur in childhood; its diagnosis in adult patients is unusual.
Clinical case: we present two clinical cases of malignant QT. Discussion: most of the TDC carcinomas are diagnosed incidentally. However, a rapid growth, changes in TDC characteristics, and findings in complementary imaging exams of calcification, nodules, and irregular margins should alert to a possible malignization. There is no consensus regarding the need for additional treatments to the Sistrunk procedure, such as total thyroidectomy with or without neck dissection, radioactive iodine therapy or hormone suppression. However, the decision must not forget the patient’s functional status with the aim of avoiding high morbidity and mortality.
Referências
Thompson LDR, Herrera HB, Lau SK. A Clinicopathologic Series of 685 Thyroglossal Duct Remnant Cysts. Head Neck Pathol. 2016 Dec;10(4):465-474 doi: 10.1007/s12105-016-0724-7.
Zaman SU, Ikram M, Awan MS, Hassan NH. A Decade of Experience of Management of Thyroglossal Duct Cyst in a Tertiary Care Hospital: Differentiation Between Children and Adults. Indian J Otolaryngol Head Neck Surg. 2017 Mar;69(1):97-101. doi: 10.1007/s12070-016-1037-6.
Carter Y, Yeutter N, Mazeh H. Thyroglossal duct remnant carcinoma: beyond the Sistrunk procedure Surg Oncol. 2014 Sep;23(3):161-6. doi: 10.1016/j.suronc.2014.07.002.
Ubayasiri KM, Brocklehurst J, Judd O, Beasley N. A decade of experience of thyroglossal cyst excision. Ann R Coll Surg Engl. 2013 May;95(4):263-5. doi: 10.1308/003588413X13511609958613.
El-Ayman YA, Naguib SM, Abdalla WM. Huge thyroglossal duct cyst in elderly patient: Case report. Int J Surg Case Rep. 2018;51:415-418. doi: 10.1016/j.ijscr.2018.09.025.
Rayess HM, Monk I, Svider PF, Gupta A, Raza SN, Lin HS. Thyroglossal Duct Cyst Carcinoma: A Systematic Review of Clinical Features and Outcomes. Otolaryngol Head Neck Surg. 2017 May;156(5):794-802. doi: 10.1177/0194599817696504.
Chala A, Álvarez A, Sanabria Á, Gaitán A. Carcinoma papilar primario en el quiste tirogloso. Serie de casos y revisión de la literatura. Acta Otorrinolaringol Esp. 2016 Mar-Apr;67(2):102-6. doi: 10.1016/j.otorri.2015.04.002.
Wood CB, Bigcas JL, Alava I, Bischoff L, Langerman A, Kim Y. Papillary-Type Carcinoma of the Thyroglossal Duct Cyst: The Case for Conservative Management. Ann Otol Rhinol Laryngol. 2018 Oct;127(10):710-716. doi: 10.1177/0003489418791892.
Tharmabala M, Kanthan R. Incidental thyroid papillary carcinoma in a thyroglossal duct cyst - management dilemmas. Int J Surg Case Rep. 2013;4(1):58-61. doi: 10.1016/j.ijscr.2012.10.003.
Downloads
Publicado
Como Citar
Edição
Secção
Licença
Direitos de Autor (c) 2020 Revista Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço
Este trabalho encontra-se publicado com a Licença Internacional Creative Commons Atribuição-CompartilhaIgual 4.0.
