Complex Thyroglossal Duct Cyst in a young adult: review of a case.

Reyes Molina, Francisco; Serrano Parra, Alejandro; Ravelo Ramírez, Juan; Astorga Bustamante, Elizabeth; Cortés Herrera, Rubén; Améstica Fuenzalida, Nicolás

Quiste del Conducto Tirogloso Complicado en adulto joven: revisión de un caso.

dc.contributor		en-US
dc.contributor		es-ES
dc.creator	Reyes Molina, Francisco
dc.creator	Serrano Parra, Alejandro
dc.creator	Ravelo Ramírez, Juan
dc.creator	Astorga Bustamante, Elizabeth
dc.creator	Cortés Herrera, Rubén
dc.creator	Améstica Fuenzalida, Nicolás
dc.date	2020-11-25
dc.date.accessioned	2021-04-16T03:03:15Z
dc.date.available	2021-04-16T03:03:15Z
dc.identifier	https://revistas.uv.cl/index.php/asid/article/view/2524
dc.identifier.uri	https://revistaschilenas.uchile.cl/handle/2250/165595
dc.description	Background: Complex thyroglossal duct cyst (CGCT) is a congenital condition that develops from cells remaining in the thyroid gland1,2 and usually appears after an upper respiratory infection. It makes its debut as a mass of soft consistency in the upper part of the cervical midline closely related to the Hyoid bone1,3, being the most frequent cause of tumor in this area2. Its worldwide incidence is 7%2 and its frequency are higher in the first two decades of life1,3, with no difference between sexes2. This clinical case aims to show the importance of a timely diagnosis of CGCT, to prevent the evolution of the case into a malignant neoplasm 2,3. Clinical Presentation: A 27-year-old male patient, University of Chile student, systemically healthy. His reason for consultation was a mass of soft consistency that had appeared approximately one month ago in his neck and hurt when swallowing. On clinical examination, he presented an increment of volume of soft consistency in the area of the submental triangle, associated with the hyoid, along with dysphagia, tenderness to palpation, and superior displacement during swallowing and protrusion of the tongue. Blood tests (T3, T4, TSH), thyroid echotomography, and neck CT were performed. The diagnosis was QCTGC, a purely surgical approach was decided. Clinical Relevance: QCTGC is a pathology that occurs mainly in the first two decades of life1,3 it is the most frequent cause of tumors of the midline of the neck2 and can be the differential diagnosis for dermoid cysts, lymphadenopathy, and thyroid cysts; and more rarely with lymphangiomas, hemangiomas, and salivary cysts1. The literature states that the natural course of the disease is best described as repeated inflammatory episodes and external fistulization2,3. The approach is purely surgical, and the technique with the best prognosis is the Sistrunk3 Technique. Something to consider is the 1% possibility of generation of a malignant neoplasm1,2,3. Conclusion: Although it is a frequently benign cyst, a correct diagnosis is essential to avoid overtreatment (such as a not indicated surgery) or undertreatment, which could lead to the generation of a malignant neoplasm over time.	en-US
dc.description	Antecedentes: El quiste del conducto tirogloso complicado (QCTGC) es una afección congénita, se desarrolla desde células remanentes en el trayecto de la glándula tiroides1,2, suele aparecer post infección de las vías respiratorias superiores. Debuta como masa de consistencia blanda en parte alta de línea media cervical en estrecha relación con hueso Hioides1,3, siendo la causa más frecuente de tumoración en la zona2. Su incidencia es de 7%2 con mayor frecuencia en las primeras 2 décadas de vida1,3, sin diferencia entre sexos2. El objetivo es mostrar la importancia de un diagnóstico oportuno de QCTGC, para prevenir la evolución del caso en una neoplasia maligna2,3. Presentación Clínica: Paciente de sexo masculino de 27 años, sistémicamente sano. Consulta por masa de consistencia blanda en el cuello con dolor al tragar hace 1 mes. Presenta aumento de volumen de consistencia blanda en la zona del triángulo submentoniano asociado al hioides, disfagia, dolor a la palpación, desplazamiento superior en deglución y protrusión de la lengua. Se realizan exámenes de sangre (T3, T4, TSH), ecotomografía de tiroides y TAC de cuello. Se diagnostica QCTGC con abordaje quirúrgico. Relevancia Clínica: QCTGC es la causa más frecuente de tumoraciones de la línea media del cuello2 y que puede ser el diagnóstico diferencial para quistes dermoides, adenopatías y quistes tiroideos y más raramente con linfangiomas, hemangiomas y quistes salivales1. La literatura menciona que el curso natural de la enfermedad es episodios inflamatorios repetidos y fistulización externa2,3. El abordaje es netamente quirúrgico y la técnica de mejor pronóstico es la técnica de Sistrunk3. Algo a tener en consideración es la posibilidad de generar una neoplasia maligna del 1%1,2,3. Conclusión: Si bien es un quiste mayoritariamente benigno, es de vital importancia un correcto diagnóstico, para que no haya sobretratamiento (cirugía no indicada) o subtratamiento generando con el tiempo una neoplasia maligna.	es-ES
dc.format	application/pdf
dc.language	spa
dc.publisher	Universidad de Valparaíso	es-ES
dc.relation	https://revistas.uv.cl/index.php/asid/article/view/2524/2577
dc.rights	Copyright (c) 2020 Applied Sciences in Dentistry	es-ES
dc.rights	http://creativecommons.org/licenses/by/4.0	es-ES
dc.source	Applied Sciences in Dentistry; Vol. 1 (2020): Supl. 1	en-US
dc.source	Applied Sciences in Dentistry; Vol. 1 (2020): Supl. 1	es-ES
dc.source	0719-5761
dc.source	0719-5761
dc.subject	Thyroid Gland;Thyroglossal Cyst;Cyst; Early Diagnosis	en-US
dc.subject	Quiste del conducto tirogloso complicado; Quiste Tirogloso Glándula Tiroides; Quiste; Diagnóstico	es-ES
dc.title	Complex Thyroglossal Duct Cyst in a young adult: review of a case.	en-US
dc.title	Quiste del Conducto Tirogloso Complicado en adulto joven: revisión de un caso.	es-ES
dc.type	info:eu-repo/semantics/article
dc.type	info:eu-repo/semantics/publishedVersion
dc.type		en-US
dc.type		es-ES

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