Abstract
Background
Thyroglossal duct cysts (TGDCs) are common in children but also present in adults.
This study evaluates the preoperative management and postoperative outcomes in patients
with a resected TGDC.
Methods
A retrospective analysis was performed on patients with a surgically treated TGDC.
Clinicopathologic variables and treatment outcomes were obtained by chart review.
Results
A total of 79 patients (44 pediatric and 35 adult) were identified. The majority of
patients in both groups presented with a neck mass. Compared with children, adults
were significantly more likely to undergo preoperative imaging and fine-needle aspiration
biopsy. Malignancy was not identified in any patient on preoperative workup or postoperative
pathology.
Conclusions
Adults with a TGDC are more likely to undergo preoperative imaging and biopsy. The
infrequent occurrence of TGDC cancer or concurrent thyroid pathology suggests that
the diagnosis of a TGDC may be made on clinical grounds in adult patients although
ultrasound (±fine-needle aspiration biopsy) may be a useful supplementary modality.
Keywords
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Article info
Publication history
Published online: November 18, 2013
Received in revised form:
June 1,
2013
Received:
April 1,
2013
Footnotes
The authors declare no conflict of interest.
Identification
Copyright
© 2014 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
