Cervera-Paz F J, Roquette Gaona J, Bartual Pastor J
Departamento de Cirugía, Area de ORL, Universidad de Cádiz.
Acta Otorrinolaringol Esp. 1994 Mar-Apr;45(2):124-7.
One percent of excised thyroglossal duct remnants exhibit histologic malignancy, a thyroid papillary carcinoma in 80% of the cases. The prognosis is excellent except for anaplastic types. We report the case of a 44-year-old woman with primitive thyroid papillary carcinoma diagnosed histologically as thyroglossal cyst. Its unusual aggressiveness produced local and regional spread, metastases and the patient's death in spite of treatment: Sistrunk operation, local excision of a recurrence and laryngothyroidectomy. Thyroid histology revealed the absence of carcinomatous foci. We discuss the most noteworthy aspects of the case in relation to other reports.
