Characterization of thyroglossal cyst in pediatric patients

Main Article Content

Maria Eugenia Cuastumal
Liliana María Mejía Zapata

Abstract

Introduction: The thyroglossal duct cyst is a frequent congenital anomaly in the neck's midline. It generally manifests during the first decade of life, but it can appear at any age. It classically presents as an anterior midline mass that moves with swallowing and protrusion of the tongue; sometimes, it shows in an atypical way, making the diagnosis difficult. It has a recurrence rate of 4-50% even after Sistrunk´s elective surgery. Objective: To characterize the clinical presentation and treatment of pediatric patients diagnosed with a thyroglossal cyst in a pediatric institution. Methods: Retrospective descriptive study during the period 2010-2020 Results: 59 patients with thyroglossal cyst were identified, of which the average age was 5.8 years, 50.9% were male, the most frequent location found was in the medial neck region 86.4%, patients mainly presented a painless mass sensation in this region in 74.5%, discharge 18.6%, sensitivity and redness 5.1%, dysphagia 1.7%. The most frequent clinical expression of the neck mass was a thyroglossal cyst in 74.8% of the cases and the onset with a fistula in 11.6%. Conclusion: The neck ultrasound showed the thyroglossal cyst in 100% of the cases and was able to locate the presence of the thyroid gland in its usual place in 88%. 20.3% of the patients underwent thyroid tests and 12% scintigraphy. Recurrence was detected in 9 patients.

Downloads

Download data is not yet available.

Article Details

How to Cite
Cuastumal, M. E., & Mejía Zapata, L. M. (2021). Characterization of thyroglossal cyst in pediatric patients. Pediatría, 54(1), 12–16. https://doi.org/10.14295/rp.v54i1.258
Section
Originals

References

Al-Thani H, El-Menyar A, Sulaiti MA, et al. Presentation, Management, and Outcome of Thyroglossal Duct Cysts in Adult and Pediatric Populations: A 14-Year Single Center Experience. Oman Med J. 2016;31(4):276‐283. doi:10.5001/omj.2016.54.

Thabet H, Gaafar A, Nour Y. Thyroglossal duct cyst: Variable presentations..Egyptian Journal of Ear, Nose, Throat and Allied Sciences, 2011; 12(1): 13-20.

Türkyilmaz Z, Sönmez K, Karabulut R, et al. Management of thyroglossal duct cysts in children. Pediatr Int. 2004;46(1):77‐80. doi:10.1111/j.1442-200X.2004.01838.x.

Oré-Acevedo JF, La Torre-Caballero LM, Urteaga- Quiroga R. Quiste del conducto tirogloso: experiencia en el Instituto Nacional de Salud del Niño, Lima 2008-2015. Acta Med Peru. 2016;33(2):126-9.

Kepertis C, Anastasiadis K, Lambropoulos V, Mouravas V, Spyridakis I. Diagnostic and Surgical Approach of Thyroglossal Duct Cyst in Children: Ten Years Data Review. J Clin Diagn Res. 2015;9(12):13-15. doi:10.7860/JCDR/2015/14190.696.

Sánchez AG, Ramírez MG, Wilde J Quistes del conducto tirogloso:Diagnóstico y tratamiento.asociacion mexicana de cirugía facial y maxilofacial . 2009; 5( 3 ): 111-117.

Burgués ME. Gómez RC, Pueyo Gil, Sáinz S; Quistes del conducto tirogloso. ¿Influyen los episodios inflamatorios previos en el número de recidivas? Anales españoles de pediatria.1196.44(5): 423-426.

Chala A, Álvarez A, Sanabria B, Gaitán. Carcinoma papilar primario en el quiste tirogloso. Serie de casos y revisión de la literatura ; Acta Otorrinolaringol Esp. 2016; 67(2) 102-106.

N. Álvarez Garcia P. Burgués Prades, N. González Martínez-Pardo, S. Simón Portero, R. Fernández Atuán. The intra-thyroid thyroglossal cyst in the differential diagnosis of the solitary thyroid nodule: A presentation of 2 cases. Hospital Universitario Miguel Servet, Zaragoza, Españ, j.anpedi.2014.10(13).

C.-A. Righini, A. Hitter, E. Reyt, I. Atallah, Thyroglossal duct surgery. Sistrunk.procedure, Eur Ann Otorhinolaryngol Head Neck Dis 2016, 133 (2) 133-136.

Lekkerkerker I, van Heurn ELW, van der Steeg AFW, Derikx JPM. Pediatric thyroglossal duct cysts: Post-operative complications. International Journal of Pediatric Otorhinolaryngology. 2019.1;124:14-17. https://doi.org/10.1016/j.ijporl.2019.05.035.

Dai H. Chung. Cirugía Pediátrica en sabiston tratado de cirugía. fundamentos biológicos de la práctica quirúrgica moderna. 20 edición. 2018. capítulo 66, 1858-1899.

Bermúdez t, Rodríguez L. imagen en pediatría clínica. haz tu diagnóstico tumoración en región anterior del cuello pediatr integral 2019; 23 (2): 107.e1-107.e7.

Tharmabala M, Kanthan R. Incidental thyroid papillary carcinoma in a thyroglossal duct cyst - management dilemmas. Int J Surg Case Rep. 2013;4(1):58-61. doi:10.1016/j.ijscr.2012.10.003.

Tom D, Guy V, Frans G, Thomas Rose y Antoine De Backer .Thyroglossal duct cysts in children: a 30-year survey with emphasis on clinical presentation, surgical treatment, and outcome, Acta Chirurgica Belgica. 2019. 119(6).357-362, DOI: 1016.1080/00015458.2018.1529345.

Kepertis C et al: Diagnostic and surgical approach of thyroglossal duct cyst in children: ten years data review. J Clin Diagn Res. 2015. 9(12):PC13-5.

Lekkerkerker I,, Ernest LW. van Heurn, Alida FW. van der Steeg, Joep PM. Pediatric thyroglossal duct cysts: Post-operative complications.Derikxnternational Journal of Pediatric Otorhinolaryngology 124 (2019) 14-17.

Thompson LD et al: A clinicopathologic series of 685 thyroglossal duct remnant cysts. Head Neck Pathol. 2016 .10(4):465-74.

Meenakshi, S. y Rajasekar, M.Thyroglossal duct cyst: myriad presentations. International Journal of Otorhinolaryngology and Head and Neck Surgery. 2019 .5 (4) .973-977.

Rumi, S. N., Ahmad, S., Rahman, S., y Tablu, A. (2016). Presentation of .Thyroglossal Cyst in Children. Journal of Paediatric Surgeons of Bangladesh, 5(2), 45-53. https://doi.org/10.3329/jpsb.v5i2.27724.

Kepertis C, Anastasiadis K, Lambropoulos V, Mouravas V, Spyridakis I.Diagnostic and Surgical Approach of Thyroglossal Duct Cyst in Children: Ten Years Data Review .2015. 9(12):13-15.

Similar Articles

<< < 11 12 13 14 15 16 17 18 19 20 > >> 

You may also start an advanced similarity search for this article.