PT - JOURNAL ARTICLE AU - Renee Booth AU - Ashwini Milind Tilak AU - Sugoto Mukherjee AU - James Daniero TI - Thyroglossal duct cyst masquerading as a laryngocele AID - 10.1136/bcr-2018-228319 DP - 2019 Mar 01 TA - BMJ Case Reports PG - e228319 VI - 12 IP - 3 4099 - http://casereports.bmj.com/content/12/3/e228319.short 4100 - http://casereports.bmj.com/content/12/3/e228319.full SO - BMJ Case Reports2019 Mar 01; 12 AB - 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.