A rare location of papillary carcinoma: Thyroglossal duct cyst.

IF 0.5 Q4 SURGERY Turkish Journal of Surgery Pub Date : 2023-03-01 DOI:10.47717/turkjsurg.2022.4268
Mehmet Haciyanlı, Selda Gücek Haciyanlı, Serkan Karaisli, Tuba Balkaya, Turan Acar, Erdinç Kamer
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Abstract

The inadequate closure of the thyroglossal tract paves the way for a thyroglossal cyst. Thyroglossal duct cyst (TDC) malignancy is quite rare. A thirty-nineyear-old female patient was admitted to the polyclinic with a complaint of palpable mass in the neck. Findings compatible with TDC were determined in the patient's neck screening and it was considered to be malignant due to irregular margins, apparent vascularization and punctual calcifications. Fine needle aspiration biopsy was unremarkable. TDC was excised by Sistrunk procedure and frozen examination was performed. Total thyroidectomy was performed additionally since the result of the frozen examination was found to be compatible with the primary papillary carcinoma of TDC. If preoperative biopsy does not provide a diagnosis, frozen section study will be beneficial in terms of both providing the early diagnosis and directing the operation strategy during the surgery in clinically or radiologically suspected patients.

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罕见的乳头状癌:甲状舌管囊肿。
甲状舌束的不完全闭合为甲状舌囊肿铺平了道路。甲状腺舌管囊肿(TDC)是一种非常罕见的恶性肿瘤。一名三十九岁女性患者因颈部可触及肿块而入院。在患者的颈部筛查中确定了与TDC相符的结果,由于边缘不规则,明显的血管化和准时钙化,认为它是恶性的。细针穿刺活检无明显差异。采用Sistrunk手术切除TDC并进行冷冻检查。由于冷冻检查的结果与原发性乳头状癌一致,我们又行了全甲状腺切除术。如果术前活检不能提供诊断,对于临床或放射学上怀疑的患者,冷冻切片研究在提供早期诊断和指导手术策略方面都是有益的。
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1.20
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