A Young Man With Chronic Discharge From the Skin of the Lateral Neck

Prabhu, Arpan V.; Grandis, Jennifer R.; Branstetter, Barton F.

doi:10.1001/jamaoto.2015.3044

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2019

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“…Prabhu, Grandis and Branstetter published a report in 2016 of a young man in his 20’s presenting with a laterally draining neck mass eventually determined to be a TGDC fistula 7. This patient also had a lateral adult-onset neck mass; however, as is more typical of adult presentation of TGDC, his mass presented with a neck infection rather than asymptomatically 8.…”

Section: Discussionmentioning

confidence: 95%

Thyroglossal duct cyst masquerading as a laryngocele

et al. 2019

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Thyroglossal duct cysts (TGDCs) are the most common congenital neck mass and often present in the paediatric population as a painless mass in the midline. A lateralised neck mass presenting for the first time in an adult may raise more concern for malignancy or a laryngocele. A 50-year-old man presented with an asymptomatic right level II neck mass adjacent to the thyroid cartilage. Preoperative CT revealed a cystic mass right of the midline with an intralaryngeal component. Intraoperatively, the lesion tracked towards the central hyoid bone; a Sistrunk procedure was performed. Postoperative pathology revealed a small foci of thyroid tissue within the mass. Careful consideration of the origin of this unusually presenting TGDC enabled appropriate operative management.

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Section: Discussionmentioning

confidence: 95%