RT Journal Article SR Electronic T1 Synchronous carcinoma of thyroglossal duct cyst and native thyroid gland JF BMJ Case Reports JO BMJ Case Reports FD BMJ Publishing Group Ltd SP e250853 DO 10.1136/bcr-2022-250853 VO 15 IS 11 A1 Devaraja, K A1 Malapure, Sumeet Suresh A1 Neeraj, R A1 Chandrappa, Deepa Hunasaghatta YR 2022 UL http://casereports.bmj.com/content/15/11/e250853.abstract AB The unobliterated portion of embryological thyroglossal duct may present as cystic swelling later in life and may contain functional thyroid follicles. This cyst requires excision along with the entire thyroglossal duct remnant and adjacent portion of hyoid bone. At times, the excised specimen could demonstrate a focus of carcinomatous change inside the cyst wall. Very rarely, this thyroglossal duct cyst carcinoma could be associated with malignancy of native thyroid gland. This case report illustrates an interesting case of synchronous carcinoma of thyroglossal duct cyst and native thyroid gland. It also sheds light on the controversies related to the pathophysiology of such association and the dilemmas surrounding the management of thyroglossal duct cyst carcinoma, with or without concurrent carcinoma of thyroid gland.