High-grade mucoepidermoid carcinoma in thyroglossal cyst: Post-surgical histological surprise and dilemmas

Occurrence of malignancy in the TG cyst has been rarely reported, though rare, and papillary carcinoma predominates the common type but squamous cell carcinomas, anaplastic carcinoma, and medullary have been reported rarely. Mucoepidermoid carcinomas are most commonly seen in salivary glands, and as...

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Autores principales: Ravindran Chirukandath, CR Nimisha, PJ Babu, Puthukatt Muraleedharan Arya, RS Lekshmi, TV Santhosh
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Lenguaje:EN
Publicado: Manipal College of Medical Sciences, Pokhara 2021
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Acceso en línea:https://doi.org/10.3126/ajms.v12i12.39652
https://doaj.org/article/001d366e982f4fa3a0e9c3fdb483de03
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spelling oai:doaj.org-article:001d366e982f4fa3a0e9c3fdb483de032021-12-02T00:33:44ZHigh-grade mucoepidermoid carcinoma in thyroglossal cyst: Post-surgical histological surprise and dilemmashttps://doi.org/10.3126/ajms.v12i12.396522467-91002091-0576https://doaj.org/article/001d366e982f4fa3a0e9c3fdb483de032021-12-01T00:00:00Zhttps://www.nepjol.info/index.php/AJMS/article/view/39652https://doaj.org/toc/2467-9100https://doaj.org/toc/2091-0576Occurrence of malignancy in the TG cyst has been rarely reported, though rare, and papillary carcinoma predominates the common type but squamous cell carcinomas, anaplastic carcinoma, and medullary have been reported rarely. Mucoepidermoid carcinomas are most commonly seen in salivary glands, and as per the available literature, there was only two cases reported in thyroglossal cyst. We are presenting a 67-year-old lady presented with a 6×8 cm hard swelling below symphysis menti with no thyromegaly and moving on protrusion of tongue, and on MRI, it was found to be thyroglossal cyst with infiltration of strap muscles. Cytological investigation revealed it to be a TG cyst malignancy. The patient underwent total thyroidectomy and radical Sistrunk’s operation. Histopathological and immunohistochemistry revealed it to be a histological examination revealed a low-grade mucoepidermoid carcinoma consistent with origin in a thyroglossal duct remnant it invaded the hyoid bone and adjacent strap muscles. Various diagnostic and treatment dilemmas in the treatment of TG cyst malignancy are discussed with reference to mucoepidermoid carcinoma. We are reporting an usual histological surprise in a thyroglossal cyst malignancy being the only second reported case of TG cyst mucoepidermoid carcinoma this case highlights the importance of removal of thyroglossal duct cysts at an early stage and aggressive surgical approach in high-grade tumors.Ravindran Chirukandath CR Nimisha PJ Babu Puthukatt Muraleedharan Arya RS Lekshmi TV Santhosh Manipal College of Medical Sciences, Pokharaarticletg cystmucoepidermoid carcinomasistrunk’s operationhigh gradeMedicineRENAsian Journal of Medical Sciences, Vol 12, Iss 12, Pp 177-180 (2021)
institution DOAJ
collection DOAJ
language EN
topic tg cyst
mucoepidermoid carcinoma
sistrunk’s operation
high grade
Medicine
R
spellingShingle tg cyst
mucoepidermoid carcinoma
sistrunk’s operation
high grade
Medicine
R
Ravindran Chirukandath
CR Nimisha
PJ Babu
Puthukatt Muraleedharan Arya
RS Lekshmi
TV Santhosh
High-grade mucoepidermoid carcinoma in thyroglossal cyst: Post-surgical histological surprise and dilemmas
description Occurrence of malignancy in the TG cyst has been rarely reported, though rare, and papillary carcinoma predominates the common type but squamous cell carcinomas, anaplastic carcinoma, and medullary have been reported rarely. Mucoepidermoid carcinomas are most commonly seen in salivary glands, and as per the available literature, there was only two cases reported in thyroglossal cyst. We are presenting a 67-year-old lady presented with a 6×8 cm hard swelling below symphysis menti with no thyromegaly and moving on protrusion of tongue, and on MRI, it was found to be thyroglossal cyst with infiltration of strap muscles. Cytological investigation revealed it to be a TG cyst malignancy. The patient underwent total thyroidectomy and radical Sistrunk’s operation. Histopathological and immunohistochemistry revealed it to be a histological examination revealed a low-grade mucoepidermoid carcinoma consistent with origin in a thyroglossal duct remnant it invaded the hyoid bone and adjacent strap muscles. Various diagnostic and treatment dilemmas in the treatment of TG cyst malignancy are discussed with reference to mucoepidermoid carcinoma. We are reporting an usual histological surprise in a thyroglossal cyst malignancy being the only second reported case of TG cyst mucoepidermoid carcinoma this case highlights the importance of removal of thyroglossal duct cysts at an early stage and aggressive surgical approach in high-grade tumors.
format article
author Ravindran Chirukandath
CR Nimisha
PJ Babu
Puthukatt Muraleedharan Arya
RS Lekshmi
TV Santhosh
author_facet Ravindran Chirukandath
CR Nimisha
PJ Babu
Puthukatt Muraleedharan Arya
RS Lekshmi
TV Santhosh
author_sort Ravindran Chirukandath
title High-grade mucoepidermoid carcinoma in thyroglossal cyst: Post-surgical histological surprise and dilemmas
title_short High-grade mucoepidermoid carcinoma in thyroglossal cyst: Post-surgical histological surprise and dilemmas
title_full High-grade mucoepidermoid carcinoma in thyroglossal cyst: Post-surgical histological surprise and dilemmas
title_fullStr High-grade mucoepidermoid carcinoma in thyroglossal cyst: Post-surgical histological surprise and dilemmas
title_full_unstemmed High-grade mucoepidermoid carcinoma in thyroglossal cyst: Post-surgical histological surprise and dilemmas
title_sort high-grade mucoepidermoid carcinoma in thyroglossal cyst: post-surgical histological surprise and dilemmas
publisher Manipal College of Medical Sciences, Pokhara
publishDate 2021
url https://doi.org/10.3126/ajms.v12i12.39652
https://doaj.org/article/001d366e982f4fa3a0e9c3fdb483de03
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