Thyroglossal Duct Cyst Recurence. A case report

Abstract

Thyroglossal duct cyst is a congenital malformation that occurs due to incomplete closure of the thyroglossal duct. The cyst typically appears along the midline of the neck on the ventral surface. Apart from being a quiescent embryological remnant, it presents itself clinically at any age and often requires surgical excision. It is the most common congenital tumor neck mass and occurs in 7% of the population. The thyreoglossal cyst may be located in the intralingual, suprahyoid, thyrohyoid or suprasternal region. Its position in the hyoid bone is extremely rare. There are a few differences between thyroglossal duct cysts (TGDCs) expression in children and adults. The lesion mostly found in children but adult population also possesses this anomaly. Position is almost similar in both age groups with midline and infrahyoid location while laterality is seen mostly in adults. Size of Cyst is found to be larger in adults. The recurrence and post-operative complication rates between children and adults usually are not significantly different. Malignant transformation is rare and can be diagnosed only after histologic examination of a biopsy specimen. We present a clinical case of a 25 year old female patient, with previous surgery in childhood (at the age of 7) due to thyroglossal duct cyst. She came to the ENT clinic complaining of painful tumor mass at the middle of her neck 3 centimeters large. Thyroglossal duct cyst recurrence with inflammation was discovered. The patient underwent antibiotic treatment for 10 days as a start and after a week a surgery was performed as a method of definitive treatment.