Recep YAĞIZ, Abdullah TAŞ, Şemsi ALTANER, Ahmet KARASALİHOĞLU

Tiroglossal duktus kistinden kaynaklanan papiller karsinom

Tiroglossal duktus kisti boyun orta hat kitleleri içinde en sık karflılaflıan doğufltan anomalidir. Bu kistten karsinom geliflimi ise nadir olup, en sık histolojik tipini papiller karsinom oluflturmaktadır. Bu yazı- da, boyun orta hattında hiyoid kemik hizasında, ağrısız ve yutkunmakla hareketli kitle saptanan 23 yaflında erkek hasta sunuldu. Hastaya tiroglossal duktus kisti öntanısıyla Sistrunk ameliyatı uygulandı. Cerrahi örneğin histopatolojik incelemesi, tiroglossal duktus kistinden kaynaklanan papiller karsinom olarak bildirildi. Ameliyat sonrası dönemde tiroid supresyon tedavisine bafllandı. Hasta planlı poliklinik kontrolleri ile 30 aydır hastalıksız olarak takip edilmektedir.

Anahtar Kelimeler:

Papiller karsinom, tiroglossal kist/patoloji/cerrahi, tiroid neoplazileri

Papillary carcinoma arising from a thyroglossal duct cyst

Thyroglossal duct cyst is the most common midline congenital neck anomaly. Carcinoma arising from a thyroglossal duct cyst is a rare entity, the most com mon histological type being papillary carcinoma. A 23- year-old male patient presented with a painless mass at the level of the hyoid bone in the midline of the neck.İt was mobile on swallowing. With an initial diagnosis of thyroglossal duct cyst, the lesion was removed with the Sistrunk procedure. Histopathological examination of the surgical specimen showed papillary carcinoma arising from the thyroglossal duct cyst. Thyroid sup- pression therapy was initiated postoperatively. The patient has been under follow-up for 30 months with no recurrence.

Keywords:

Carcinoma papillary, thyroglossal cyst/pathology/surgery, thyroid neoplasms,

PDF

___

Allard RHB. The thyroglossal cyst. Head Neck Surg 1982;5:134-46.
Van Vuuren PA, Balm AJ, Gregor RT, Hilgers FJ, Loftus BM, Delprat CC, et al. Carcinoma arising in thyroglos- sal remnants. Clin Otolaryngol 1994;19:509-15.
Glastonbury CM, Davidson HC, Haller JR, Harnsberger HR. The CT and MR imaging features of carcinoma arising in thyroglossal duct remnants. AJNR Am J Neuroradiol 2000;21:770-4.
Doshi SV, Cruz RM, Hilsinger RL Jr. Thyroglossal duct carcinoma: a large case series. Ann Otol Rhinol Laryngol 2001;110:734-8.
Sistrunk WE. Technique of removal of cysts and sinus- es of the thyroglossal duct. Surg Gynecol Obst 1928; 46:109-12.
Samara C, Bechrakis I, Kavadias S, Papadopoulos A, Maniatis V, Strigaris K. Thyroglossal duct cyst carcino- ma: case report and review of the literature, with emphasis on CT findings. Neuroradiology 2001; 43:647-9.
Wigley TL, Chonkich GD, Wat BY. Papillary carcinoma arising in a thyroglossal duct cyst. Otolaryngol Head Neck Surg 1997;116:386-8.
Boswell WC, Zoller M, Williams JS, Lord SA, Check W. Thyroglossal duct carcinoma. Am Surg 1994;60:650-5.
Kennedy TL, Whitaker M, Wadih G. Thyroglossal duct carcinoma: a rational approach to management. Laryngoscope 1998;108(8 Pt 1):1154-8.
Yang YJ, Haghir S, Wanamaker JR, Powers CN. Diagnosis of papillary carcinoma in a thyroglossal duct cyst by fine-needle aspiration biopsy. Arch Pathol Lab Med 2000;124:139-42.
Branstetter BF, Weissman JL, Kennedy TL, Whitaker M. The CT appearance of thyroglossal duct carcinoma. AJNR Am J Neuroradiol 2000;21:1547-50.
Pribitkin EA, Friedman O. Papillary carcinoma in a thyroglossal duct remnant. Arch Otolaryngol Head Neck Surg 2002;128:461-2.
Kristensen S, Juul A, Moesner J. Thyroglossal cyst car- cinoma. J Laryngol Otol 1984;98:1277-80.
Yildiz K, Koksal H, Ozoran Y, Muhtar H, Telatar M. Papillary carcinoma in a thyroglossal duct remnant with normal thyroid gland. J Laryngol Otol 1993; 107:1174-6.