Keywords : Neck mass

Pathological Analysis of Thyroglossal Duct Cyst in Children

Aseel Hameed A. Al-Khalifah

Kerbala Journal of Medicine, 2017, Volume 10, Issue 1, Pages 2656-2662

Background: Thyroglossal duct cysts (TGDCs) are the most common form of congenital neck cyst, accounting for up to 70% of such lesions. There has been no consensus on which factors predict outcome of thyroglossal duct cyst excision.
Objective: To evaluate the relevance of symptomatology, age at presentation and the histopathology of TGDCs.
Methods: Retrospective review of patients with TGDC at Al-Hissain medical city. Data collected included patient’s age, gender, clinical presentation, presence or absence of preoperative infection, size and location of the lesion,
Results: Thirty –one patients were identified (71% female and 29% male). Age of presentation was bimodal and ranged from few months to 17 years. The most common presenting symptom was the presence of an asymptomatic midline neck mass (71%). A history of preoperative TGDC infection was present in 3% of patients ≤2 years of age and in 10% of patients ≥5 years of age.
Conclusions: The finding of a midline neck mass is the most common presentation of TGDCs in toddlers, whereas infection is the most common presenting symptoms in school-aged children. Complete and precise clinical information is a prerequisite in order for pathologists to make accurate diagnoses of congenital cervical cysts.