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Thyroglossal duct cyst masquerading as a haematoma
Ricardo Persaud1, Melissa Short, Prasad Kothari
1Department of ENT and Head and Neck Surgery, West Middlesex University Hospital NHS Trust, Middlesex, UK. Rand.M.Persaud@ukgateway.net
The Journal of Laryngology and Otology
|April 8, 2004
Summary
This study reports a rare adult thyroglossal duct cyst initially misdiagnosed as a traumatic hematoma. The large cyst extended to the suprasternal notch, requiring extensive surgical removal.
Area of Science:
- Otolaryngology
- Head and Neck Surgery
- Pediatric Surgery
Background:
- Thyroglossal duct cysts (TDCs) are congenital anomalies typically presenting in children as midline neck masses.
- Classic symptoms include a midline swelling near the hyoid bone that elevates with tongue protrusion.
Observation:
- A novel case of a TDC in an adult is presented, mimicking a traumatic hematoma on initial evaluation.
- The cyst exhibited an unusually extensive caudal extension to the suprasternal notch.
Findings:
- Fine needle aspiration cytology and clinical presentation were initially misleading, suggesting a hematoma.
- Surgical excision required two parallel transverse cervical incisions for complete en bloc removal due to the cyst's size and location.
Implications:
- This case highlights the importance of considering atypical presentations of TDCs in adults.
- It underscores the need for thorough diagnostic evaluation, even when initial findings suggest a more common condition.
- The extensive nature of this TDC necessitates advanced surgical techniques for complete resection.