Primary Papillary Carcinoma in Thyroglossal Cysts. Case Reports and Literature Review

Publication date: March–April 2016
Source:Acta Otorrinolaringologica (English Edition), Volume 67, Issue 2
Author(s): Andrés Chala, Andrés Álvarez, Álvaro Sanabria, Alejandro Gaitán
The thyroglossal cyst can exceptionally appear as a primary cyst carcinoma. We discuss a series of 6 adult patients, assessed for long-lasting asymptomatic suprahyoid or lateral-to-larynx mass. The images showed a heterogeneous mass invading adjacent soft tissues. Fine needle aspiration biopsy did not contribute to diagnosis. We performed a Sistrunk procedure in all cases, 3 combined with total thyroidectomy and 1 with neck dissection. The postoperative course was favourable. No additional treatment was required, without evidence of recurrence in follow-up. The management is controversial due to the limited number of cases reported. Some classifications based on size and extent have been proposed to define the surgical treatment of such cysts.



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