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Ectopic thyroid malignancy in the midline of the neck

Published online by Cambridge University Press:  29 June 2007

Malcolm R. Laing*
Affiliation:
Aberdeen
Kenneth A. Mclay
Affiliation:
Aberdeen
*
Malcolm R. Laing, Department of Otolaryngology, Aberdeen Royal Infirmary, Foresterhill, Aberdeen AB9 2ZB.

Summary

A 71-year-old female presented with a midline neck mass. The clinical impression was that of a thyroglossal cyst but preoperative assessment suggested a solid lesion, possibly malignant. The mass was removed surgically using the Sistrunk technique and shown pathologically to be a mixed papillary-follicular carcinoma of the thyroid with no cystic elements. Clinically and radiologically the thyroid was normal and thyroidectomy was not performed. This management is discussed along with a brief review of the relevant literature on the pathology and treatment of similar lesions.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1988

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References

Judd, E. S. (1963) Thyroglossal cysts and sinuses. Surgical Clinics of North America, 43: 1023.CrossRefGoogle Scholar
Livolsi, V. A., Perzin, K. H. and Savetsky, L. (1974) Carcinoma arising in median ectopic thyroid. Cancer, 34: 13031315.3.0.CO;2-S>CrossRefGoogle ScholarPubMed
Nussbaum, M., Buchwald, R. P. and Ribner, A. (1981) Anaplastic carcinoma arising from a median ectopic thyroid (thyroglossal duct remnant) Cancer, 48: 27242728.3.0.CO;2-1>CrossRefGoogle ScholarPubMed
Nuttal, F. Q. (1965) Cystic metastases from papillary adenocarcinoma of the thyroid with comments concerning carcinoma associated with thyroglossal remnant. American Journal of Surgery, 109: 500505.CrossRefGoogle Scholar
Owen, H. R. and lngleby, H. (1927) Carcinoma of the thyroglossal duct. Annals of Surgery, 85: 132136.Google Scholar
Roses, D. F.Snively, S. L., Phelps, R. G., Cohen, N. and Blum, M. (1983) Carcinoma of the thyroglossal duct. American Journal of Surgery, 145(2): 266269.CrossRefGoogle ScholarPubMed
Sistrunk, W. (1928) Technique of removal of cyst and sinus of the thyroglossal duct. Surgery, Gynecology and Obstetrics, 46: 109112.Google Scholar
Stone, A. R. and Miln, D. C. (1976) Thyroglossal cyst carcinoma. Case presentation and a review of normal thyroglossal cysts. British Journal of Clinical Practice, 42: 233237.Google Scholar
Widstrom, A., Magnusson, P., Hallberg, O., Hellqvist, H. and Riber, H. (1976) Adenocarcinoma originating in the thyroglossal duct. Annals of Otology, Rhinology and Laryngology, 85: 286290.CrossRefGoogle ScholarPubMed