Subscribe to RSS
DOI: 10.5935/2526-8732.20210023
Papillary carcinoma of the thyroglossal cyst as a metastasis of microcarcinoma of thyroid cancer: a case report and literature review
Carcinoma papilífero do cisto tireoglosso como metástase de microcarcinoma de câncer de tireoide: relato de caso e revisão da literatura
Financial support: none to declare.
ABSTRACT
Papillary carcinoma of the thyroglossal cyst is clinically like the benign lesion in adults aged 15-45 year, with a higher incidence in females. It is a congenital anomaly of the midline of the neck and have the clinical worsening related to infections of high aerodigestive routes. We discuss clinical assess, diagnosis, surgery, hormonal suppression, radioiodine therapy, and prognosis in a patient with a complaint of nodule in the neck, and to the ultrasonography an image suggestive of the thyroglossal cyst without alteration of thyroid gland. He was submitted to Sistrunk's surgery and the anatomopathological exam revealed papillary carcinoma, and we do not find normal thyroid follicles in the thyroglossal cyst wall. We perform the total thyroidectomy by the thyroid alterations, showing in the anatomopathological exam a thyroid microcarcinoma. We completed by hormonal suppression and radioiodine therapy. The prognosis is favorable and the patient presented asymptomatic until now.
RESUMO
O carcinoma papilífero do cisto tireoglosso é clinicamente semelhante à lesão benigna em adultos de 15 a 45 anos, com maior incidência em mulheres. É uma anomalia congênita da linha média do pescoço e tem a piora clínica relacionada a infecções de vias aerodigestivas altas. Discutimos a avaliação clínica, diagnóstico, cirurgia, supressão hormonal, radioiodoterapia e prognóstico em um paciente com queixa de nódulo no pescoço e à ultrassonografia uma imagem sugestiva de cisto tireoglosso sem alteração da glândula tireoide. Foi submetido à cirurgia de Sistrunk e o exame anatomopatológico revelou carcinoma papilar, e não encontramos folículos tireoidianos normais na parede do cisto tireoglosso. Realizamos a tireoidectomia total devido às alterações tireoidianas, evidenciando no exame anatomopatológico um microcarcinoma de tireoide. Completamos o tratamento com supressão hormonal e terapia com radioiodo. O prognóstico é favorável e a paciente apresentasse assintomática até o momento.
Descritores:
Cisto tireoglosso - Câncer de Tiróide Papilífero - Diagnóstico - Modalidade de terapia combinada..Publication History
Received: 22 February 2021
Accepted: 30 July 2021
Article published online:
16 August 2021
© 2022. This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil
Sergio Altino Franzi, Tania Regina de Bastos Souza. Papillary carcinoma of the thyroglossal cyst as a metastasis of microcarcinoma of thyroid cancer: a case report and literature review. Brazilian Journal of Oncology 2021; 17: e-20210023.
DOI: 10.5935/2526-8732.20210023
-
REFERENCES
- Walton BR, Kock KE.. Presentation and management of a thyroglossal duct cyst with a papillary carcinoma. South Med J 1997; Jul; 90 (07) 768-761
- Daour R, Aftimos G, Rahayel L.. Papillary carcinoma arising in the wall of a thyroglossal cyst (in French). Ann Chir 1996; 50 (02) 162-164
- Sahraoui S, Zamiati S, Essadi M, Jalali K, Acharki UM, Ouhtatou F. et al Papillary carcinoma arising from the thyroglossal duct remnants: review of literature and report a case. Rev Laryngol Otol Rhinol 2000; 121 (03) 161-163
- Bhagavan BS, Rao DR, Weinberg T.. Carcinoma of thyroglossal duct cyst: case report and review of the literature. Surgery 1970; Feb; 67 (02) 281-292
- Joseph TJ, Komorowski RA.. Thyroglossal duct carcinoma. Hum Pathol 1975; Nov; 6 (06) 717-729
- Katz AD, Hachigian M.. Thyroglossal duct cyst. A third-year experience with emphasis on occurrence in older patients. Am J Surg 1988; Jun; 155 (06) 741-744
- Hilger AW, Thompson SD, Smallman LA, Watkinson JC.. Papillary carcinoma arising in a thyroglossal duct cyst: a case report and literature review. J Laringol Otol 1995; Nov; 109 (11) 1124-1127
- Sistrunk WE.. The surgical treatment of cysts of the thyroglossal tract. Ann Surg 1920; Feb; 71 (02) 121-122
- Carter Y, Yeutter N, Mazeh H.. Thyroglossal duct remnant carcinoma: beyond the sistrunk procedure. Surg Oncol 2014; Sep; 23 (03) 161-166
- Kristensen S, Juul A, Moesner J.. Thyroglossal cyst carcinoma. J Laryngol Otol 1984; Dec; 98 (12) 127780
- Wexler MJ.. Surgical management of thyroglossal duct carcinoma: is an aggressive approach justified?. Can J Surg 1996; Aug; 39 (04) 263-264
- Boswell WC, Zoller M, Williams JS, Lord SA, Check W.. Thyroglossal duct carcinoma. Am Surg 1994; Sep; 60 (09) 650-655
- Almeida. et al. Carcinoma papilífero de cisto de ducto tireoglosso. Rev Bras Cir Cabeça Pescoço 2012; 41 (02) 96-98
- Peretz A, Leiberman E, Kapelushnik J, Hershkovitz E.. Thyroglossal duct carcinoma in children: case presentation and review of the literature. Thyroid 2004; Sep; 14 (09) 777-785
- Weiss SD, Orlich CC.. Papillary carcinoma of the thyroglossal duct cyst. Br J Surg 1991; Jan; 78 (01) 87-89