Thyroglossal duct cyst: an unusual presentation

Area of Science:

• Head and Neck Surgery
• Endocrinology
• Pediatric Surgery

Background:

• Thyroglossal duct cysts (TDCs) are common congenital neck masses, typically midline.
• They usually present as painless, mobile neck swellings that elevate with tongue protrusion and swallowing.

Observation:

• A rare case of a TDC located far from the midline is presented.
• This atypical TDC did not move with tongue protrusion and caused dysphagia and extensive neck swelling.
• The presentation mimicked a colloid goiter, complicating initial diagnosis.

Findings:

• The study details an unusual thyroglossal duct cyst presentation.
• Key atypical features included lateral location, lack of mobility, and associated dysphagia.
• The swelling was extensive, resembling a goiter.

Implications:

• This case underscores the importance of considering atypical presentations of thyroglossal duct cysts.
• It highlights diagnostic challenges when TDC symptoms deviate from the norm.
• Awareness of such variations is crucial for accurate diagnosis and timely management of neck masses.