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Thyroglossal duct cysts in the elderly

J P Murphy, D C Budd

    Southern Medical Journal
    |October 1, 1977
    PubMed
    Summary
    This summary is machine-generated.

    Thyroglossal duct cysts are typically found in children but can occur in older adults. This report details a rare case in a 68-year-old man, highlighting the need for consideration across all age groups.

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    Area of Science:

    • Otolaryngology
    • Pediatric Surgery
    • Endocrinology

    Background:

    • Thyroglossal duct cysts (TDCs) are congenital anomalies resulting from incomplete obliteration of the thyroglossal duct.
    • They are most commonly diagnosed in infancy and childhood, representing the second most frequent congenital anomaly of the neck.

    Observation:

    • A rare case of a thyroglossal duct cyst is presented in a 68-year-old male patient.
    • The clinical presentation involved a cystic mass in the anterior midline of the neck, a characteristic sign for TDC diagnosis.
    • While incidence decreases with age, this case underscores that TDCs can manifest in elderly individuals.

    Findings:

    • Literature review indicates a significant decline in TDC incidence with increasing age.
    • Only fourteen cases of thyroglossal duct cysts have been documented in individuals over the age of 60.

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  • This case adds to the limited data on the occurrence of TDCs in the geriatric population.
  • Implications:

    • The diagnosis of thyroglossal duct cysts should not be excluded solely based on advanced age.
    • Clinicians should maintain a high index of suspicion for TDCs in older patients presenting with midline neck masses.
    • Further research may elucidate any age-specific variations in the presentation or management of thyroglossal duct cysts.