Ectopic thyroid imitating a thyroglossal cyst: A case report

Utpal Sarmah, Priyanka Hardikar, S. Chhabria, Athira Vishnurag
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Abstract

A twelve-year-old male child presented with a midline neck mass for three years that moved with deglutition and tongue protrusion. A clinical diagnosis of thyroglossal duct cyst was made and patient was further evaluated for surgery. Ultrasonography of neck showed an ectopic thyroid tissue with features of chronic thyroiditis superficial to thyroid cartilage and thyroid bed appeared empty. Cytopathology reported Bethesda category 2 features of chronic thyroiditis. Thyroid profile of the patient revealed sub clinical hypothyroidism. On further evaluation withTc-99m pertechnetate scan, it was revealed that this midline neck swelling was in fact the only functioning thyroid tissue, hence no surgery was performed. This case highlighted the importance of ultrasonography along with thyroid scan in the preoperative evaluation of a midline neck swelling.
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异位甲状腺模仿甲状舌管囊肿1例
一名12岁的男性儿童在三年内出现颈部中线肿块,伴有吞咽和舌头突出。对甲状舌管囊肿进行了临床诊断,并对患者进行了进一步的手术评估。颈部超声检查显示异位甲状腺组织,表现为甲状腺软骨浅表的慢性甲状腺炎,甲状腺床出现空洞。细胞病理学报告了Bethesda慢性甲状腺炎的2类特征。患者的甲状腺特征显示亚临床甲状腺功能减退。经Tc-99m高锝酸盐扫描进一步评估,发现颈部中线肿胀实际上是唯一功能正常的甲状腺组织,因此未进行手术。该病例强调了超声检查和甲状腺扫描在术前评估中线颈部肿胀中的重要性。
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