Thyroglossal cyst explained

Thyroglossal cyst
Field:Medical genetics

A thyroglossal cyst or thyroglossal duct cyst is a fibrous cyst that forms from a persistent thyroglossal duct. Thyroglossal cysts can be defined as an irregular neck mass or a lump which develops from cells and tissues left over after the formation of the thyroid gland during developmental stages.[1]

Thyroglossal cysts are the most common cause of midline neck masses and are generally located caudal to (below) the hyoid bone. These neck masses can occur anywhere along the path of the thyroglossal duct, from the base of the tongue to the suprasternal notch.[2] Other common causes of midline neck masses include lymphadenopathy, dermoid cysts, and various odontogenic anomalies.

Thyroglossal cysts develop at birth. Many diagnostic procedures may be used to establish the degree of the cyst.

Signs and symptoms

Thyroglossal duct cysts most often present with a palpable asymptomatic midline neck mass usually below [65% of the time] the level of the hyoid bone. The mass on the neck moves during swallowing or on protrusion of the tongue because of its attachment to the tongue via the tract of thyroid descent. Some patients will have neck or throat pain, or dysphagia.

The persistent duct or sinus can promote oral secretions, which may cause cysts to become infected. Up to half of thyroglossal cysts are not diagnosed until adult life. The tract can lie dormant for years or even decades, until some kind of stimulus leads to cystic dilation. Infection can sometimes cause the transient appearance of a mass or enlargement of the cyst, at times with periodic recurrences. Spontaneous drainage may also occur. Differential diagnosis are ectopic thyroid, enlarged lymph nodes, dermoid cysts and goiter.

Thyroglossal cyst usually presents as a midline neck lump (in the region of the hyoid bone) that is usually painless, smooth and cystic, though if infected, pain can occur. There may be difficulty breathing, dysphagia (difficulty swallowing), or dyspepsia (discomfort in the upper abdomen), especially if the cyst becomes large.

The most common location for a thyroglossal cyst is midline or slightly off midline, between the isthmus of the thyroid and the hyoid bone or just above the hyoid bone. A thyroglossal cyst can develop anywhere along a thyroglossal duct, though cysts within the tongue or in the floor of the mouth are rare.A thyroglossal cyst will move upwards with protrusion of the tongue.Thyroglossal cysts are associated with an increased incidence of ectopic thyroid tissue. Occasionally, a lingual thyroid can be seen as a flattened strawberry-like lump at the base of the tongue.[3]

Complications

Infection

An infected thyroglossal duct cyst can occur when it is left untreated for a certain amount of time or simply when a thyroglossal duct cyst hasn't been suspected. The degree of infection can be examined as major rim enhancement has occurred, located inferior to the hyoid bone. Soft tissue swelling occurs, along with airway obstruction and trouble swallowing, due to the rapid enlargement of the cyst. With infections, there can be rare cases where an expression of fluid is projected into the pharynx causing other problems within the neck.[4]

Thyroglossal Fistula

A thyroglossal duct cyst may rupture unexpectedly, resulting in a draining sinus known as a thyroglossal fistula. Thyroglossal fistula can develop when the removal of the cyst has not been fully completed. This is usually noticed when bleeding in the neck occurs, causing swelling and fluid ejection around the original wound of removal.[5]

Thyroglossal duct cyst carcinoma

Rarely (in less than 1% of cases), cancer may be present in a thyroglossal duct cyst.[6] These tumors are generally papillary thyroid carcinomas,[6] arising from the ectopic thyroid tissue within the cyst.[7] [8]

Causes

Thyroglossal Duct Cysts are a birth defect. During embryonic development, the thyroid gland is being formed, beginning at the base of the tongue and moving towards the neck canal, known as the thyroglossal duct. Once the thyroid reaches its final position in the neck, the duct normally disappears. In some individuals, portions of the duct remain behind, leaving small pockets, known as cysts. During a person's life, these cyst pockets can fill with fluids and mucus, enlarging when infected, presenting the thyroglossal cyst.

Embryology

The thyroglossal tract arises from the foramen cecum at the junction of the anterior two-thirds and posterior one-third of the tongue. Any part of the tract can persist, causing a sinus, fistula or cyst. Most fistulae are acquired following rupture or incision of the infected thyroglossal cyst. A thyroglossal cyst is lined by pseudostratified, ciliated columnar epithelium while a thyroglossal fistula is lined by columnar epithelium.

Diagnosis

Diagnosis of a thyroglossal duct cyst requires a medical professional, and is usually done by a physical examination. It is important to identify whether or not the thyroglossal cyst contains any thyroid tissue, as it can define the degree of cyst that is being dealt with.

Diagnostic procedures for a thyroglossal cyst include:

Type Definition
Blood testing of thyroid function.
Image capture of the degree of mass and its surrounding tissues.
Thyroid Scan Radioactive iodine or technetium (a radioactive metallic element) is used in this procedure to show any abnormalities of the thyroid.
Fine Needle Aspiration The removal of cells for biopsy, using a needle

Clinical features

Clinical features can be found in the subhyoid portion of the tract and 75% present as midline swellings. The remainder can be found as far lateral as the lateral tip of the hyoid bone.

Typically, the cyst will move upwards on protrusion of the tongue, given its attachment to the embryonic duct, as well as on swallowing, due to attachment of the tract to the foramen caecum.

Treatment

Although generally benign, the cyst must be removed if the patient exhibits difficulty in breathing or swallowing, or if the cyst is infected. Even if these symptoms are not present, the cyst may be removed to eliminate the chance of infection or development of a carcinoma,[9]

Thyroid scans and thyroid function studies are ordered preoperatively; this is important to demonstrate that normally functioning thyroid tissue is in its usual area.

Surgical management options include the Sistrunk procedure, en bloc central neck dissection, suture-guided transhyoid pharyngotomy, and Koempel's supra-hyoid technique.[10] Cystectomy is an inadequate approach.[11]

Sistrunk Procedure

The Sistrunk procedure is the surgical resection of the central portion of the hyoid bone along with a wide core of tissue from the midline area between the hyoid and foramen cecum.[12] It involves excision not only of the cyst but also of the path's tract and branches, and removal of the central portion of the hyoid bone is indicated to ensure complete removal of the tract. The original Sistrunk papers (the "classic" procedure described in 1920, and the "modified" procedure described in 1928) are available on-line with a modern commentary.[13] [14]

In general, the procedure consists of three steps:

  1. incision
  2. resection of cyst and hyoid bone
  3. drainage and closure

There are several versions of the Sistrunk procedure, including:

The procedure is relatively safe. In a study of 35 pediatric patients, Maddalozzo et al. found no major complications, but did observe minor complications (6 patients presented with seroma and 4 patients with local wound infections).[16] A more recent paper analyzed 24 research studies on different treatment complications of thyroglossal cyst, and reported a total minor complications rate of 6% for the Sistrunk operation (classical or modified) and simple cystectomy treatment modalities.[17] The Sistrunk procedure also showed better outcomes concerning the rate of overall recurrence, i.e. has the lowest rate of recurrence.

Sistrunk procedure results in a 95% cure rate and 95–100% long-term survival.[18]

Epidemiology

  1. 90% of cases are presented in children before the age of 10 [19]
  2. 70% of neck anomalies are from Thyroglossal cysts
  3. Thyroglossal Duct Cysts are the second most common neck abnormalities after lymphadenopathy
  4. A person can live with a Thyroglossal Duct Cyst without any problems, until a pathology develops.
  5. Approximately 7% of the population has thyroglossal duct remnants [20]
  6. Thyroglossal duct carcinoma occurs in approximately 1 to 2% of Thyroglossal cyst cases.[21]

See also

Further reading

Notes and References

  1. University of Rochester Medical Center. (2015). Thyroglossal duct cyst. Retrieved from http://www.urmc.rochester.edu
  2. Deaver M. J. . Silman E. F. . Lotfipour S. . 2009 . Infected thyroglossal duct cyst . Western Journal of Emergency Medicine . 10 . 3. 205 . 19718389 . 2729228 .
  3. SRB's Manual of Surgery 3rd edition 2009;405;406.
  4. Stahl W.M. . Lyall D. . 1954 . Cervical cysts and fistulae of thyroglossal Tract Origin . Annals of Surgery . 139 . 1. 123–128 . 10.1097/00000658-195401000-00018. 13114863 . 1609283.
  5. The State of Queensland. (2011) Thyroglossal cysts/fistuka. Retrieved from http://www.health.qld.gov.au
  6. Web site: Thyroid & parathyroid - Congenital / metabolic anomalies - Thyroglossal duct cyst. Andrey Bychkov, M.D., Ph.D.. PathologyOutlines. Topic Completed: 14 March 2016. Minor changes: 27 January 2021.
  7. Ali M. . Abussa A. . Hashmi H. . 2007 . Papillary thyrpid carcinoma formation in a thyroglossal cyst. A case report . Libyan Journal of Medicine . 2 . 3. 148–149 . 10.4176/070611 . 21503216 . 3078210 .
  8. Sabra, M. (2009). Clinical thyroidology for patients. American Thyroid Association. 3(2), 12. Retrieved from http://www.thyroid.org
  9. 1988. Papillary carcinoma arising in a thyroglossal duct cyst. Otolaryngology–Head and Neck Surgery. 99. 1. 50–54. 3140182. McNicoll MP, Hawkins DB, England K, Penny R, Maceri DR. 10.1177/019459988809900109. 27041672.
  10. Ibrahim. Farid F.. Alnoury. Mohammed K.. Varma. Namrata. Daniel. Sam J.. 2015-06-01. Surgical management outcomes of recurrent thyroglossal duct cyst in children--A systematic review. International Journal of Pediatric Otorhinolaryngology. 79. 6. 863–867. 10.1016/j.ijporl.2015.03.019. 1872-8464. 25890397.
  11. Geller. Kenneth A.. Cohen. David. Koempel. Jeffrey A.. 2014-02-01. Thyroglossal duct cyst and sinuses: a 20-year Los Angeles experience and lessons learned. International Journal of Pediatric Otorhinolaryngology. 78. 2. 264–267. 10.1016/j.ijporl.2013.11.018. 1872-8464. 24332664.
  12. Gioacchini. FM. Clinical presentation and treatment outcomes of thyroglossal duct cysts: a systematic review. International Journal of Oral and Maxillofacial Surgery. January 2015. 44. 1. 119–126. 25132570. 10.1016/j.ijom.2014.07.007.
  13. Sistrunk. W.E.. 1928. Technique of removal of cysts and sinuses of the thyroglossal duct.. Surg. Gynecol. Obstet.. 46. 109–112.
  14. Sistrunk. Walter Ellis. 2016-11-23. Annals of Surgery. 71. 2. 121–122.2. 0003-4932. 1410396. 17864229. 10.1097/00000658-192002000-00002. The Surgical Treatment of Cysts of the Thyroglossal Tract.
  15. Ryu. Yoon-Jong. Kim. Dong Wook. Jeon. Hyoung Won. Chang. Hyun. Sung. Myung Whun. Hah. J. Hun. 2015-06-01. Modified Sistrunk operation: New concept for management of thyroglossal duct cyst. International Journal of Pediatric Otorhinolaryngology. 79. 6. 812–816. 10.1016/j.ijporl.2015.03.001. 1872-8464. 25829321.
  16. Maddalozzo. J.. Venkatesan. T. K.. Gupta. P.. 2001-01-01. Complications associated with the Sistrunk procedure. The Laryngoscope. 111. 1. 119–123. 10.1097/00005537-200101000-00021. 0023-852X. 11192879. 24852015.
  17. Gioacchini. F. M.. Alicandri-Ciufelli. M.. Kaleci. S.. Magliulo. G.. Presutti. L.. Re. M.. 2015-01-01. Clinical presentation and treatment outcomes of thyroglossal duct cysts: a systematic review. International Journal of Oral and Maxillofacial Surgery. 44. 1. 119–126. 10.1016/j.ijom.2014.07.007. 1399-0020. 25132570.
  18. Carter. Yvette. Yeutter. Nicholas. Mazeh. Haggi. 2014-09-01. Thyroglossal duct remnant carcinoma: beyond the Sistrunk procedure. Surgical Oncology. 23. 3. 161–166. 10.1016/j.suronc.2014.07.002. 1879-3320. 4149934. 25056924.
  19. Weerakkody, Y., & Gaillard F. (2015). Thyroglossal duct cyst. UBM Medica Network. Retrieved from http://radiopaedia.org
  20. Karmakar S. . Saha A. . Mukherjee D. . 2012 . Thyroglossal cyst: An unusual presentation . Indian Journal of Otolaryngology and Head & Neck Surgery. 65 . 1. 185–187 . 10.1007/s12070-011-0458-5 . 24427642 . 3718931.
  21. Forest V. . Murali R. . Clark JR. . 2011 . Thyroglossal duct cyst carcinoma: Case series . Journal of Otolaryngology–Head & Neck Surgery. 40 . 2. 151–156 . 21453651 .