Abstract
Thyroglossal duct cysts are congenital anomalies which occur usually in the anterior midline of the neck. Most cases are found under the age of 20. We presented a case of thyroglossal duct cyst that was pointed out as cervical mass in a 60 year old female who is old for this disease. In cases like this we should examine for differential diagnosis of any mass found. When duct removal is incomplete, recurrence is inevitable. The central portion of the hyoid bone should be included in surgical excision in community with the tract extending to the base of the tongue. Sistrunk's procedure is therefore the ideal method. In this case some infection might stimulate the cyst to grow as big as noticed.
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