Dear dr
A female aged 17 years presented with a cystic med neck mass subhyoied that move with protrusiin of tongue. Normal thyroid gland. Ultrasound showed cystic lesion
The diagnosis was thyroglossal cys
Cistrunck operation performed with excision of central portion of hyoied bone.
Histopathology showed papillary cell ca with clear margen of exission.
What is your suggestion for further managment??
Total thyroidectomy??
Followup?
With my thank
Interesting question. It would depends on several factors such as size and focality of tumor, PTC histology subtype, presence of vascular invasion or lymph nodes mets, thyroid and cervical lymph nodes status on ultrasound, history of neck radiation, and family history of PTC.
If the patient has some factor that makes her benefit from receiving radioactive iodine, she would have to undergo total thyroidectomy, otherwise she would keep her under observation
Had a similar case few years ago, the decision was to observe the patient. You could always discuss it with the colleagues at your hospital's Tumour Board meeting.
First have the pathology reviewed. If confirmed look at size and subtype. If less than 1 cm observe only.
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