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Unusual presentation of more common disease/injury
CASE REPORT
Thyroglossal duct cyst masquerading as a laryngocele
  1. Renee Booth1,
  2. Ashwini Milind Tilak2,
  3. Sugoto Mukherjee3 and
  4. James Daniero4
  1. 1 Department of Otolaryngology, Augusta University, Augusta, Georgia, USA
  2. 2 School of Medicine, University of Virginia, Charlottesville, Virginia, USA
  3. 3 Radiology, University of Virginia, Charlottesville, Virginia, USA
  4. 4 Department of Otolaryngology, University of Virginia, Charlottesville, Virginia, USA
  1. Correspondence to Dr James Daniero, Jdaniero{at}virginia.edu

Abstract

Thyroglossal duct cysts (TGDCs) are the most common congenital neck mass and often present in the paediatric population as a painless mass in the midline. A lateralised neck mass presenting for the first time in an adult may raise more concern for malignancy or a laryngocele. A 50-year-old man presented with an asymptomatic right level II neck mass adjacent to the thyroid cartilage. Preoperative CT revealed a cystic mass right of the midline with an intralaryngeal component. Intraoperatively, the lesion tracked towards the central hyoid bone; a Sistrunk procedure was performed. Postoperative pathology revealed a small foci of thyroid tissue within the mass. Careful consideration of the origin of this unusually presenting TGDC enabled appropriate operative management.

  • ear, nose and throat/otolaryngology
  • radiology
  • head and neck surgery

http://dx.doi.org/10.1136/bcr-2018-228319

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    Footnotes

    • Contributors AMT, RB and JD: article writing and editing. SM: image analysis and article contribution.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Patient consent for publication Obtained.