Acta Scientific Otolaryngology (ASOL) (ISSN: 2582-5550)

Case Report Volume 6 Issue 4

Diagnostic Dilemma of Midline Neck Swelling in an Elderly Patient – Case Report

Payal Kamble 1, Diksha Rani 1*, Varad Wazarkar 1 and Rajeev Gurmukhi2

1ENT Department, ESI Mahatma Gandhi Memorial Hospital, Mumbai, Maharashtra, India
2SURGERY Department, ESI Mahatma Gandhi Memorial Hospital, Mumbai, Maharashtra, India

*Corresponding Author: Diksha Rani, ENT Department, ESI Mahatma Gandhi Memorial Hospital, Mumbai, Maharashtra, India.

Received: February 15, 2024; Published: March 20, 2024

Abstract

A thyroglossal duct cyst occurs as result of failure of obliteration of thyroglossal tract during fetal development. It generally presents in the age of infant and adolescents. Rarely it presents in the elderly group. In the present study 60 year old female presented with painless neck mass from last 1 year which was slowly increasing in size. Laboratory investigations showed all routines were within normal limits. Ultransonography revealed paramidline cystic lesion but computed tomography was more suggestive of thyroid nodule. Based on the clinical diagnosis, we did sistrunk procedure and specimen was sent for histopathology examination and it revealed thyroglossal duct cyst with hetropic thyroid tissue. So it is essential to keep the thyroglossal duct cyst as differential diagnosis in midline neck swellings even in elderly patients.

Keywords: Thyroglossal Duct Cyst; Sistrunk Procedure; Elderly; Midline Swelling; Case Report

References

  1. Al-Thani H., et al. “Presentation, Management, and Outcome of Thyroglossal Duct Cysts in Adult and Pediatric Populations: A 14-Year Single Center Experience”. Oman Medical Journal4 (2016): 276-283.
  2. FM Gioacchini., et al. “Clinical presentation and treatment outcomes of thyroglossal duct cysts: a systematic review”. International Journal of Oral Maxillofacial Surgery 44 (2015): 119-126.
  3. Galluzzi F., et al. “Risk of recurrence in children operated for thyroglossal duct cysts: A systematic review”. Journal of Pediatric Surgery1 (2013): 222-227.
  4. Ahuja AT., et al. “Imaging for thyroglossal duct cyst: the bare essentials”. Clinical Radiology 2 (2005): 141-148.
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  7. Kartini D., et al. “Sistrunk Procedure on Malignant Thyroglossal Duct Cyst”. Case Reports in Oncological Medicine 16 (2020): 6985746.
  8. Jhonston R., et al. “Intra-thyroid thyroglossal duct cyst as a differential diagnosis of thyroid nodule”. International Journal of Pediatric Otorinolaryngoly9 (2003): 1027-1030.

Citation

Citation: Diksha Rani., et al. “Diagnostic Dilemma of Midline Neck Swelling in an Elderly Patient – Case Report".Acta Scientific Otolaryngology 6.4 (2024): 22-24.

Copyright

Copyright: © 2024 Diksha Rani., et al. 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 author and source are credited.




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