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Colloid cyst in ectopic thyroid gland.

J A Moore1, R De Bruyn, D P Drake

  • 1Department of Paediatric Surgery, The Hospital for Sick Children, London, UK.

Pediatric Surgery International
|January 10, 2001
PubMed
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A rare neck cyst in a child was found to contain thyroid tissue, leading to severe hypothyroidism. Pre-operative thyroid ultrasound is recommended for suspected thyroglossal tract cysts (TGC) to avoid surgical misdiagnosis.

Area of Science:

  • Pediatric Surgery
  • Endocrinology
  • Head and Neck Pathology

Background:

  • Thyroglossal tract cysts (TGC) are common congenital neck anomalies.
  • They typically present as midline neck masses.
  • Differential diagnosis can include other cystic lesions.

Observation:

  • A 5-year-old girl presented with a midline neck swelling.
  • Surgical excision revealed a multiloculated cyst with a suprahyoid tract.
  • Histology confirmed a benign colloid cyst with ectopic thyroid tissue.

Findings:

  • The cystic appearance was misleading during surgery.
  • Post-operative assessment revealed severe hypothyroidism.
  • Ectopic thyroid tissue within the cyst was the cause of hypothyroidism.

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Implications:

  • Pre-operative thyroid ultrasonography (US) is crucial for suspected TGC.
  • Accurate pre-operative diagnosis can prevent surgical complications.
  • Early identification of ectopic thyroid tissue is vital for managing endocrine dysfunction.