Thyroglossal cyst malignancy: two cases of exception

Detalhes bibliográficos
Autor(a) principal: da Costa, Liliana Filipa Invencio
Data de Publicação: 2020
Outros Autores: de la Iglesia, Francisco Vázquez, González-Botas, J. Jesús Herranz
Tipo de documento: Artigo
Idioma: spa
Título da fonte: Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
Texto Completo: https://doi.org/10.34631/sporl.798
Resumo: Abstract: Introduction: the thyroglossal duct cyst (TDC) is the most common congenital malformation in the neck. It is usually a benign tumor, but can suffer malignant transformation. The majority of cases of TDC occur in childhood; its diagnosis in adult patients is unusual. Clinical case: we present two clinical cases of malignant QT. Discussion: most of the TDC carcinomas are diagnosed incidentally. However, a rapid growth, changes in TDC characteristics, and findings in complementary imaging exams of calcification, nodules, and irregular margins should alert to a possible malignization. There is no consensus regarding the need for additional treatments to the Sistrunk procedure, such as total thyroidectomy with or without neck dissection, radioactive iodine therapy or hormone suppression. However, the decision must not forget the patient’s functional status with the aim of avoiding high morbidity and mortality. Keywords: Thyroglossal cyst, Cancer, Carcinoma, Thyroid Gland.
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spelling Thyroglossal cyst malignancy: two cases of exceptionA La malignización del quiste tirogloso: dos casos de excepción.Thyroglossal cyst malignancy: Two cases of exceptionthyroglossal cystcancercarcinomathyroid glandquiste tiroglosocancercarcinomatiroidesAbstract: Introduction: the thyroglossal duct cyst (TDC) is the most common congenital malformation in the neck. It is usually a benign tumor, but can suffer malignant transformation. The majority of cases of TDC occur in childhood; its diagnosis in adult patients is unusual. Clinical case: we present two clinical cases of malignant QT. Discussion: most of the TDC carcinomas are diagnosed incidentally. However, a rapid growth, changes in TDC characteristics, and findings in complementary imaging exams of calcification, nodules, and irregular margins should alert to a possible malignization. There is no consensus regarding the need for additional treatments to the Sistrunk procedure, such as total thyroidectomy with or without neck dissection, radioactive iodine therapy or hormone suppression. However, the decision must not forget the patient’s functional status with the aim of avoiding high morbidity and mortality. Keywords: Thyroglossal cyst, Cancer, Carcinoma, Thyroid Gland.Introducción: el quiste tirogloso (QT) es la malformación congénita más frecuente en el cuello. Constituye habitualmente una patología benigna, pero, puede sufrir una transformación maligna. La mayoría de los casos de QT se presentan en la infancia, siendo inusual en adultos. Caso clínico: exponemos dos casos clínicos de QT malignizado. Discusión: la mayoria de los carcinomas de QT se diagnostican de manera incidental. No obstante, un crecimiento rápido, cambios en sus características y la presencia en pruebas de imagen de calcificaciones, nódulos y márgenes irregulares deben alertar a una posible malignización. No existe consenso sobre la necesidad de tratamientos adicionales al procedimiento de Sistrunk, como la tiroidectomía total con o sin vaciamiento ganglionar, la terapia con yodo radioactivo o la supresión hormonal. Sin embargo, la decisión no debe olvidar el estado funcional del paciente con el objetivo de evitar una morbimortalidad elevada.Introduction: the thyroglossal duct cyst (TDC) is the most common congenital malformation in the neck. It is usually a benign tumor, but can suffer malignant transformation. The majority of cases of TDC occur in childhood; its diagnosis in adult patients is unusual. Clinical case: we present two clinical cases of malignant QT. Discussion: most of the TDC carcinomas are diagnosed incidentally. However, a rapid growth, changes in TDC characteristics, and findings in complementary imaging exams of calcification, nodules, and irregular margins should alert to a possible malignization. There is no consensus regarding the need for additional treatments to the Sistrunk procedure, such as total thyroidectomy with or without neck dissection, radioactive iodine therapy or hormone suppression. However, the decision must not forget the patient’s functional status with the aim of avoiding high morbidity and mortality.Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço2020-06-04info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.34631/sporl.798https://doi.org/10.34631/sporl.798Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery; Vol. 57 No. 4 (2019): December; 167-170Revista Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço; Vol. 57 Núm. 4 (2019): Dezembro; 167-170Revista Portuguesa de Otorrinolaringologia-Cirurgia de Cabeça e Pescoço; Vol. 57 N.º 4 (2019): Dezembro; 167-1702184-6499reponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiainstacron:RCAAPspahttps://journalsporl.com/index.php/sporl/article/view/2933https://journalsporl.com/index.php/sporl/article/view/2933/953Direitos de Autor (c) 2020 Revista Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoçoinfo:eu-repo/semantics/openAccessda Costa, Liliana Filipa Invenciode la Iglesia, Francisco VázquezGonzález-Botas, J. Jesús Herranz2024-06-06T13:00:53Zoai:journalsporl.com:article/2933Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireinfo@rcaap.ptopendoar:https://opendoar.ac.uk/repository/71602025-05-28T17:54:32.721983Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiafalse
dc.title.none.fl_str_mv Thyroglossal cyst malignancy: two cases of exception
A La malignización del quiste tirogloso: dos casos de excepción.
Thyroglossal cyst malignancy: Two cases of exception
title Thyroglossal cyst malignancy: two cases of exception
spellingShingle Thyroglossal cyst malignancy: two cases of exception
da Costa, Liliana Filipa Invencio
thyroglossal cyst
cancer
carcinoma
thyroid gland
quiste tirogloso
cancer
carcinoma
tiroides
title_short Thyroglossal cyst malignancy: two cases of exception
title_full Thyroglossal cyst malignancy: two cases of exception
title_fullStr Thyroglossal cyst malignancy: two cases of exception
title_full_unstemmed Thyroglossal cyst malignancy: two cases of exception
title_sort Thyroglossal cyst malignancy: two cases of exception
author da Costa, Liliana Filipa Invencio
author_facet da Costa, Liliana Filipa Invencio
de la Iglesia, Francisco Vázquez
González-Botas, J. Jesús Herranz
author_role author
author2 de la Iglesia, Francisco Vázquez
González-Botas, J. Jesús Herranz
author2_role author
author
dc.contributor.author.fl_str_mv da Costa, Liliana Filipa Invencio
de la Iglesia, Francisco Vázquez
González-Botas, J. Jesús Herranz
dc.subject.por.fl_str_mv thyroglossal cyst
cancer
carcinoma
thyroid gland
quiste tirogloso
cancer
carcinoma
tiroides
topic thyroglossal cyst
cancer
carcinoma
thyroid gland
quiste tirogloso
cancer
carcinoma
tiroides
description Abstract: Introduction: the thyroglossal duct cyst (TDC) is the most common congenital malformation in the neck. It is usually a benign tumor, but can suffer malignant transformation. The majority of cases of TDC occur in childhood; its diagnosis in adult patients is unusual. Clinical case: we present two clinical cases of malignant QT. Discussion: most of the TDC carcinomas are diagnosed incidentally. However, a rapid growth, changes in TDC characteristics, and findings in complementary imaging exams of calcification, nodules, and irregular margins should alert to a possible malignization. There is no consensus regarding the need for additional treatments to the Sistrunk procedure, such as total thyroidectomy with or without neck dissection, radioactive iodine therapy or hormone suppression. However, the decision must not forget the patient’s functional status with the aim of avoiding high morbidity and mortality. Keywords: Thyroglossal cyst, Cancer, Carcinoma, Thyroid Gland.
publishDate 2020
dc.date.none.fl_str_mv 2020-06-04
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://doi.org/10.34631/sporl.798
https://doi.org/10.34631/sporl.798
url https://doi.org/10.34631/sporl.798
dc.language.iso.fl_str_mv spa
language spa
dc.relation.none.fl_str_mv https://journalsporl.com/index.php/sporl/article/view/2933
https://journalsporl.com/index.php/sporl/article/view/2933/953
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço
publisher.none.fl_str_mv Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço
dc.source.none.fl_str_mv Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery; Vol. 57 No. 4 (2019): December; 167-170
Revista Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço; Vol. 57 Núm. 4 (2019): Dezembro; 167-170
Revista Portuguesa de Otorrinolaringologia-Cirurgia de Cabeça e Pescoço; Vol. 57 N.º 4 (2019): Dezembro; 167-170
2184-6499
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instname_str FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
instacron_str RCAAP
institution RCAAP
reponame_str Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
collection Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
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