DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20194965

Thyroglossal duct papillary carcinoma presenting as submental neck node

Babu Manohar, Raees Abdurahiman

Abstract


Neck node in sub mental area is not uncommon. It occurs mostly due to infective or malignant pathologies in oral cavity. Submental neck node mass due to thyroglossal duct cyst carcinoma is a rare presentation. A 25 year old female presented with a sub mental neck node which was noticed for 6 weeks with no history of fever or any oral lesions. On examination, there was a 1 × 1 cm non tender, firm, mobile sub mental neck node. Fine Needle aspiration cytology (FNAC) of the submental node showed features of metastatic papillary carcinoma from thyroid. Whole body Technitium 99 Pertechnate scan was done to find the primary site and metastases in other neck nodes but failed to find any. After necessary investigations, Total thyroidectomy with sistrunk’s procedure, central compartment clearance and level I clearance, was done.  Histopathology report showed papillary carcinoma arising from Thyroglossal duct with metastases in submental lymph node. Different pathologies of a mass occurring in submental area are reactive lymphoid hyperplasia, non-Hodgkin lymphoma, dermoid cyst, abscess, sarcoidosis, hemangioma, and lipoma. Neck mass in submental area occurring due to metastases from thyroglossal duct cyst carcinoma without the swelling in primary is a rare presentation.


Keywords


Papillary carcinoma, Thyroglossal cyst, Sistrunk procedure, Submental neck node

Full Text:

PDF

References


Yang SI, Park KK, Kim JH. Papillary carcinoma arising from thyroglossal duct cyst with thyroid and lateral neck metastasis. Int J Surg Case Rep. 2013;4(8):704-7.

Gupta N, Dass A, Bhutani M, Singhal SK, Verma H, Bhutani M, et al. Papillary carcinoma in thyroglossal duct cyst: An unusual case. Egypt J Ear Nose Throat Allied Sci. 2014;15:45–7.

Doshi SV, Cruz RM, Hilsinger RL. Thyroglossal duct carcinoma: a large case series. Ann Otol Rhinol Laryngol. 2001;110(8):734-8.

Tradati N, DePaoli F, Benazzo M, Andrle J, Calabrese L, Giugliano G, et al. Papillary carcinoma in thyroglossal duct remnants presentation of four cases and decision procedure for prophylactic thyroid gland dissection. Oncol Rep. 2000;7(6):1349-53.

Ural A, Imamoğlu M, Umit Işık A, Bahadır O, Bektaş D, Cobanoğlu B. et al. Neck masses confined to the submental space: our experience with 24 cases. Ear Nose Throat J. 2011;90(11):538-40.

Weiss SD, Orlich CC. Primary papillary carcinoma of a thyroglossal duct cyst: report of a case and literature review. Br J Surg. 1991;78(1):87-9.

Wexler MJ. Surgical management of thyroglossal duct carcinoma: is an aggressive approach justified? Can J Surg. 1996;39(4):263-4.

Van Vuuren PA, Balm AJ, Gregor RT, Hilgers FJ, Loftus BM, Delprat CC, et al. Carcinoma arising in thyroglossal remnants. Clin Otolaryngol Allied Sci. 1994;19(6):509-15.

Sobri FB, Ramli M, Sari UN, Umar M, Mudrick DK. Papillary Carcinoma Occurrence in a Thyroglossal Duct Cyst with Synchronous Papillary Thyroid Carcinoma without Cervical Lymph Node Metastasis: Two-Cases Report. Case Rep Surg. 2015;2015:872054.

Kristensen S, Juul A, Moesner J. Thyroglossal cyst carcinoma. J Laryngol Otol. 1984;98:1277–80.