Thyroglossal Cyst

1. ectopic thyroid tissue

2. cysts, fistulas, or solid nodules of thyroid tissue

3. most common midline neck mass in children

4. surgical removal b/c rare presence of carcinoma

4.1. 1% papillary thyroid carcinoma

5. SURGICAL:

5.1. requires excision of cyst and ENTIRE thyroglossal duct tract. Failure to remove=common cause reoccurrence

6. thyroglossal duct from base of tongue to normal position in infrahyoid neck during embryogenesis

7. PE:

7.1. painless

7.2. cystic, mobile, fluctuant midline mass

7.3. moves with swallowing or protrusion of tongue

8. DIAGNOSTIC:

8.1. FNA=confirm cell identification