Preoperative evaluation of thyroglossal duct cysts: children versus adults--is there a difference?

Anuradha R Bhama; Richard J Smith; Robert A Robinson; Ronald J Weigel; Sonia L Sugg; James R Howe; Geeta Lal

doi:10.1016/j.amjsurg.2013.06.018

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Preoperative evaluation of thyroglossal duct cysts: children versus adults--is there a difference?

Journal article

Peer reviewed

Preoperative evaluation of thyroglossal duct cysts: children versus adults--is there a difference?

Anuradha R Bhama, Richard J Smith, Robert A Robinson, Ronald J Weigel, Sonia L Sugg, James R Howe and Geeta Lal

The American journal of surgery, Vol.207(6), pp.902-906

06/2014

DOI: 10.1016/j.amjsurg.2013.06.018

PMID: 24246260

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Abstract

Thyroglossal duct cysts (TGDCs) are common in children but also present in adults. This study evaluates the preoperative management and postoperative outcomes in patients with a resected TGDC. A retrospective analysis was performed on patients with a surgically treated TGDC. Clinicopathologic variables and treatment outcomes were obtained by chart review. A total of 79 patients (44 pediatric and 35 adult) were identified. The majority of patients in both groups presented with a neck mass. Compared with children, adults were significantly more likely to undergo preoperative imaging and fine-needle aspiration biopsy. Malignancy was not identified in any patient on preoperative workup or postoperative pathology. Adults with a TGDC are more likely to undergo preoperative imaging and biopsy. The infrequent occurrence of TGDC cancer or concurrent thyroid pathology suggests that the diagnosis of a TGDC may be made on clinical grounds in adult patients although ultrasound (±fine-needle aspiration biopsy) may be a useful supplementary modality.

Humans

Middle Aged

Thyroglossal Cyst - surgery

Child, Preschool

Infant

Male

Treatment Outcome

Preoperative Care

Biopsy, Fine-Needle

Diagnostic Imaging

Adolescent

Aged, 80 and over

Adult

Female

Aged

Retrospective Studies

Child

Details

Title: Subtitle: Preoperative evaluation of thyroglossal duct cysts: children versus adults--is there a difference?
Creators: Anuradha R Bhama - Department of Surgery, University of Iowa, 200 Hawkins Drive, 4641 JCP, Iowa city, IA, USA
Richard J Smith - Department of Otolaryngology, University of Iowa, 200 Hawkins Drive, 4641 JCP, Iowa city, IA, USA
Robert A Robinson - Department of Pathology, University of Iowa, 200 Hawkins Drive, 4641 JCP, Iowa city, IA, USA
Ronald J Weigel - Department of Surgery, University of Iowa, 200 Hawkins Drive, 4641 JCP, Iowa city, IA, USA
Sonia L Sugg - Department of Surgery, University of Iowa, 200 Hawkins Drive, 4641 JCP, Iowa city, IA, USA
James R Howe - Department of Surgery, University of Iowa, 200 Hawkins Drive, 4641 JCP, Iowa city, IA, USA
Geeta Lal - Department of Surgery, University of Iowa, 200 Hawkins Drive, 4641 JCP, Iowa city, IA, USA. Electronic address: geeta-lal@uiowa.edu
Resource Type: Journal article
Publication Details: The American journal of surgery, Vol.207(6), pp.902-906
DOI: 10.1016/j.amjsurg.2013.06.018
PMID: 24246260
NLM abbreviation: Am J Surg
ISSN: 0002-9610
eISSN: 1879-1883
Publisher: United States
Language: English
Date published: 06/2014
Academic Unit: Roy J. Carver Department of Biomedical Engineering; Molecular Physiology and Biophysics; Oral Pathology, Radiology and Medicine; Anatomy and Cell Biology; Stead Family Department of Pediatrics; Pathology; Iowa Neuroscience Institute; Surgery; Biochemistry and Molecular Biology; Otolaryngology; Internal Medicine
Record Identifier: 9984006487702771

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