A Case of Papillary Thyroid Carcinoma Arising in Thyroglossal Duct Cyst

갑상설관 낭종에서 발생한 유두상 선암 1예

  • Lee Kyoung-Keun (Department of Surgery, School of Medicine Wonkwang University) ;
  • Ahn Hae-Sun (Department of Surgery, School of Medicine Wonkwang University) ;
  • Lee Kwang-Man (Department of Surgery, School of Medicine Wonkwang University)
  • 이경근 (원광대학교 의과대학 외과학교실) ;
  • 안해선 (원광대학교 의과대학 외과학교실) ;
  • 이광만 (원광대학교 의과대학 외과학교실)
  • Published : 2000.05.01

Abstract

Thyroglossal duct cyst is common midline mass, which is related to hyoid bone and may show signs of inflammation. Carcinoma arising in the thyroglossal duct cyst is rare, occuring in less than 1% of thyroglossal duct cyst. Papillary adenocarcinoma is the most common histologic type(75-85%). The initial treatement of choice is wide excision of the tumor bearing tissue(Sistrunk procedure), resection of associated lymph node alone is enough when they are small and isolated, but a modified neck dissection must be done if regional involvement is more extensive. Its prognosis is excellent(the incidence of regional lymph node metastasis is 7% compare to 89% for papillary cancer of thyroid gland proper).

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