Thyroglossal Tract Cyst in the Elderly Subject: About Two Cases

Zakaria El Hafi; wah sidi el mokhtar abdallahi; tarek dahan; leila essakalli

doi:10.36948/ijfmr.2023.v05i05.5963

Thyroglossal Tract Cyst in the Elderly Subject: About Two Cases

Author(s)	Zakaria El Hafi, wah sidi el mokhtar abdallahi, tarek dahan, leila essakalli
Country	Morocco
Abstract	SUMMARY: Introduction: Thyroglossal tract cysts (TTCs) are the most common congenital cysts of the neck. Approximately 50% of cases are detected in the first 2 decades of life, but may also appear later in adulthood. Clinical cases: A 62-year-old patient with no particular pathological history and a cervical mass that had been evolving for more than 30 years. Clinical examination revealed a cervical mass opposite the left lateral hyoid bone, measuring 3.5cm long, firm in consistency, regular in contour, painless, immobile on swallowing, with healthy skin and no signs of compression. and a 72-year-old patient with no particular pathological history, presenting with a cervical mass that had been evolving for over 5 years, with no signs of compression of adjacent organs. Clinical examination revealed a mass in the anterior cervical region at the level of the hyoid bone, measuring 2.2cm in long axis, firm in consistency, regular in contour, painless, immobile on swallowing, with healthy skin and no signs of compression. On CT scan, the appearance was suggestive of a left median and paramedian cystic formation, embedded in the homolateral infra-hyoid muscle, abutting the thyroid cartilage without lysis opposite, and fusing at the level of the HTE lodge corresponding to a cyst of the sub-hyoid thyreoglossal tract. Exploratory cervicotomy in both patients revealed a cystic mass of the subhyoid thyreoglossal tract. Exploratory cervicotomy in both patients revealed a superficial cystic mass, adherent to the body of the hyoid bone, raising strong suspicion of a thyroglossal tract cyst. Surgical excision was performed using the Sistrunk technique, removing the cyst en bloc with the body of the hyoid bone. The surgical specimen was sent for histological examination, which confirmed the diagnosis of a KTT. Conclusion: Thyroglossal tract cyst is a frequent pathology in children, but remains rare in adults. The key to its management is to be aware of it when faced with a cervical mass.
Keywords	Congenital pathology, thyreoglossal tract cyst , thyroid , hyoid bone
Field	Medical / Pharmacy
Published In	Volume 5, Issue 5, September-October 2023
Published On	2023-09-18
Cite This	Thyroglossal Tract Cyst in the Elderly Subject: About Two Cases - Zakaria El Hafi, wah sidi el mokhtar abdallahi, tarek dahan, leila essakalli - IJFMR Volume 5, Issue 5, September-October 2023. DOI 10.36948/ijfmr.2023.v05i05.5963
DOI	https://doi.org/10.36948/ijfmr.2023.v05i05.5963
Short DOI	https://doi.org/gssfqv

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Thyroglossal Tract Cyst in the Elderly Subject: About Two Cases

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