Related Experiment Video
Updated: Aug 16, 2026

Minimal Invasive Resection of Large Retrosternal Thyroid Goiter
Published on: September 20, 2024
Intrathyroid dermoid cyst presenting as a unilateral "Cold" nodule
Neha Singh1, Andrew J A Holland, Susan Arbuckle
1Royal Australasian College of Surgeons, Western Sydney Area Health Service, The Children's Hospital Westmead, Hawkesbury Rd, Westmead, NSW 2145, Australia.
Insights
A rare dermoid cyst in a child's thyroid was surgically removed. This congenital neck mass highlights the importance of considering unusual presentations in pediatric thyroid conditions.
Area of Science:
- Pediatric Endocrinology
- Surgical Oncology
- Developmental Biology
Background:
- Congenital neck masses are common in pediatric patients.
- Differential diagnosis for childhood neck masses includes various lesions.
- Thyroid gland abnormalities can present as neck masses.
Observation:
- A 5-year-old boy presented with a unilateral neck mass.
- The mass was identified as a dermoid cyst located in the left lobe of the thyroid gland.
- Dermoid cysts within the thyroid are exceptionally rare.
Findings:
- Surgical management involved a left hemi-thyroidectomy.
- Pathogenesis may involve disruptions in normal thyroid development.
- Complete excision is the recommended treatment approach.
Implications:
- This case expands the differential diagnosis of pediatric thyroid masses.
- Understanding the etiology of rare thyroid dermoid cysts is crucial.
- Surgical excision offers a definitive treatment for such rare pediatric thyroid conditions.
Abstract:
A dermoid cyst arising in the left lobe of the thyroid gland in a 5-year-old boy was managed with a left hemi-thyroidectomy. While congenital lesions feature frequently in the differential diagnosis of childhood neck masses, dermoid cysts presenting as a unilateral neck mass are rare. When found within the thyroid, their pathogenesis may be explained by a disruption of normal thyroid development. Excision appears the treatment of choice.
Related Concept Videos
The Thyroid Gland
The follicles have a central cavity lined by simple cuboidal to squamous epithelial cells called follicular cells. These cells produce the glycoprotein...
Synthesis and Regulation of Thyroid Hormones
Upon reaching the thyroid gland, TSH stimulates the follicular cells' active uptake of iodide ions from the blood. The ions diffuse to the apical surface of the cells and are oxidized to iodine. The iodine is then...
Hyperthyroidism I: Introduction
Hyperthyroidism II: Pathophysiology
Graves Disease II: Pathophysiology
Goiter

