Thyroglossal cyst and papillary carcinoma. Management proposals

Main Article Content

Brisa Denise Palomino-Martínez
<p>Residente de cuarto a&ntilde;o de Cirug&iacute;a General, Hospital de Especialidades, Unidad M&eacute;dica de Alta Especialidad, Centro M&eacute;dico Nacional La Raza, Instituto Mexicano del Seguro Social, Ciudad de M&eacute;xico</p>

José Luis Beristain-Hernández
<p>Departamento de Cirug&iacute;a General,&nbsp;Hospital de Especialidades, Centro M&eacute;dico Nacional La Raza, Instituto Mexicano del Seguro Social, Ciudad de M&eacute;xico</p>

Marco Antonio Piscil-Salazar
<p>Servicio de Cirug&iacute;a de Cabeza y Cuello, Hospital de Especialidades, Unidad M&eacute;dica de Alta Especialidad, Centro M&eacute;dico Nacional La Raza, Instituto Mexicano del Seguro Social, Ciudad de M&eacute;xico</p>

César Javier Villalpando-Mendoza
<p>Servicio de Cirug&iacute;a General, Hospital de Especialidades, Unidad M&eacute;dica de Alta Especialidad, Centro M&eacute;dico Nacional La Raza, Instituto Mexicano del Seguro Social, Ciudad de M&eacute;xico</p>

José Arturo Velázquez-García
<p>Jefatura del Servicio de Cirug&iacute;a General, Hospital de Especialidades, Unidad M&eacute;dica de Alta Especialidad, Centro M&eacute;dico Nacional La Raza, Instituto Mexicano del Seguro Social, Ciudad de M&eacute;xico</p>

Keywords

Thyroglossal cyst, Carcinoma, Papillary, Lymphatic metastasis

Abstract

The thyroid descends through the foramen cecum leaving the thyroglossal duct, which disappears between the fifth and the tenth week of pregnancy. The lack of involution of any part of this duct results in thyroglossal cyst formation. Its diagnostic approach is made by cervical ultrasound, computed tomography and magnetic resonance imaging. Approximately 1 % of the thyroglossal cyst formation contains malignant elements, and the most reported primary tumor has been papillary carcinoma. The recommended treatment for these carcinomas is controversial and it has evolved as time goes by. From Sistrunk procedure to neck dissection with total thyroidectomy and complementary therapies, such as iodine ablation and thyroid supplements, yet there is still no consensus as to the type of surgery and postoperative management it should be used to treat this carcinoma. Therapy should be applied according to each specific case, and it should be based on histological diagnosis, the invasive character of the tumor, and the lymph node affectation. In this paper we review the literature published so far with regards to the treatment of this carcinoma.
Abstract 227 | PDF (Spanish) Downloads 84

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Issue
Vol. 52 No. 5 (2014): September-October
Section
Temas de actualidad

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How to Cite

1.
Palomino-Martínez BD, Beristain-Hernández JL, Piscil-Salazar MA, Villalpando-Mendoza CJ, Velázquez-García JA. Thyroglossal cyst and papillary carcinoma. Management proposals. Rev Med Inst Mex Seguro Soc [Internet]. 2016 Sep. 30 [cited 2025 Jul. 14];52(5):550-7. Available from: https://revistamedica.imss.gob.mx/index.php/revista_medica/article/view/620