Preoperative evaluation of thyroglossal duct cysts: children versus adults--is there a difference?

Abstract:

BACKGROUND:Thyroglossal duct cysts (TGDCs) are common in children but also present in adults. This study evaluates the preoperative management and postoperative outcomes in patients with a resected TGDC. METHODS:A retrospective analysis was performed on patients with a surgically treated TGDC. Clinicopathologic variables and treatment outcomes were obtained by chart review. RESULTS:A total of 79 patients (44 pediatric and 35 adult) were identified. The majority of patients in both groups presented with a neck mass. Compared with children, adults were significantly more likely to undergo preoperative imaging and fine-needle aspiration biopsy. Malignancy was not identified in any patient on preoperative workup or postoperative pathology. CONCLUSIONS:Adults with a TGDC are more likely to undergo preoperative imaging and biopsy. The infrequent occurrence of TGDC cancer or concurrent thyroid pathology suggests that the diagnosis of a TGDC may be made on clinical grounds in adult patients although ultrasound (±fine-needle aspiration biopsy) may be a useful supplementary modality.

journal_name

Am J Surg

authors

Bhama AR,Smith RJ,Robinson RA,Weigel RJ,Sugg SL,Howe JR,Lal G

doi

10.1016/j.amjsurg.2013.06.018

subject

Has Abstract

pub_date

2014-06-01 00:00:00

pages

902-6

issue

6

eissn

0002-9610

issn

1879-1883

pii

S0002-9610(13)00612-0

journal_volume

207

pub_type

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