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Huge thyroglossal duct cyst in elderly patient: Case report
Yousef Ahmed El-Ayman1, Sameh Mohamed Naguib1, Wael Mahmoud Abdalla1
1Faculty of Human Medicine, Zagazig University, Elsharkia, Egypt.
International Journal of Surgery Case Reports
|October 27, 2018
Summary
Thyroglossal duct cysts (TGDC) can occur in older adults and reach large sizes. Standard surgical management, like the Sistrunk operation, remains effective even in extreme cases.
Area of Science:
- Otolaryngology
- Head and Neck Surgery
- Congenital Abnormalities
Background:
- Thyroglossal duct cyst (TGDC) is the most common congenital neck mass.
- Typically presents in childhood or young adulthood.
- This case highlights presentation in advanced age.
Purpose of the Study:
- To report a rare case of a massive TGDC in an elderly patient.
- To emphasize that TGDC diagnosis and management are not limited by age or size.
- To illustrate successful surgical intervention in an extreme case.
Main Methods:
- Case presentation of an 85-year-old male with a large neck swelling.
- Diagnostic workup included clinical examination, ultrasound, and CT scan.
- Surgical excision via Sistrunk operation followed by histopathological confirmation.
Main Results:
- A huge thyroglossal cyst (92*76 mm) was diagnosed in an 85-year-old male.
- The patient underwent successful surgical excision.
- Histopathology confirmed the diagnosis of TGDC.
Conclusions:
- Thyroglossal duct cysts can present at any age, including extremes of age.
- Large TGDCs can be managed effectively with standard surgical procedures.
- Diagnosis and treatment should not be deterred by advanced age or cyst size.
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