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Rom J Morphol Embryol. 2010;51(4):775-7.

Papillary carcinoma of the thyroglossal duct cyst: report of two cases.

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  • 1Department of Digestive and Metabolic Surgery, Jean Verdier Hospital, Bondy, Paris, France. adriana.torcivia@jvr.aphp.fr

Abstract

AIM:

To present two cases of papillary carcinoma of the thyroglossal duct cyst (TDC) and to report their management.

PATIENTS AND METHODS:

Two patients, a 47-year-old woman and a 60-year-old man, were operated in 2006 and 2008 in the Department of Digestive and Metabolic Surgery of the "Jean Verdier" Hospital.

RESULTS:

The diagnosis of papillary carcinoma was established after the pathological examination carried out on the thyroglossal duct cyst, after its complete surgical excision. A total thyroidectomy followed by a treatment by radioactive iodine and a substitutive hormonal therapy were carried out in the second time for one of the two patients. For the other patient, a total thyroidectomy followed by a substitute hormonal therapy, were achieved. The evolution was favorable, with a follow-up of four years for the first patient and two years for the second one.

DISCUSSION:

Total thyroidectomy after the complete excision of the cyst is currently the recommended treatment for the papillary carcinoma of the TDC. It was shown that a latent thyroid cancer could develop even 15 years after the initial excision of the thyroglossal cyst. The treatment is curative in 95% of the cases.

CONCLUSIONS:

Current treatment of papillary carcinoma of the thyroglossal duct cyst is well codified, allowing an excellent prognostic.

PMID:
21103641
[PubMed - indexed for MEDLINE]
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