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Total Thyroidectomy Is Overly Aggressive Treatment for Papillary Carcinoma in a Thyroglossal Duct Cyst

Total Thyroidectomy Is Overly Aggressive Treatment for Papillary Carcinoma in a Thyroglossal Duct... Total Thyroidectomy Is Overly Aggressive Treatment for Papillary Carcinoma in a Thyroglossal Duct Cyst Carcinoma arising in a TGDR is rare. one remove an entire thyroid gland It is usually diagnosed after the for TGDCa? excision of a presumed benign thy- The standard of care for thyro- roglossal duct cyst. A 1994 review re- glossal duct cyst diagnosis is not ported 155 cases in the world litera- FNA. Given the young age of many ture. Of these, approximately 80% of the patients with these cysts and were papillary or a follicular variant the low incidence of malignancy as- of papillary thyroid cancer. The same sociated with them, routine FNA is review quoted from the Dutch reg- not practical or cost-effective. istry a TGDCa incidence of 0.48% Thyroglossal duct carcinoma (2/413). Unfortunately, since the lit- does not commonly metastasize, nor erature consists of multiple case re- does it frequently result in death. ports, long-term follow-up on a large Multicentric foci of papillary can- David Myssiorek, MD series of patients is lacking. Well- cer within the thyroid is a known en- differentiated carcinomas of the thy- tity, but given the low rate of recur- roid gland require long-term fol- rence in http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Otolaryngology - Head & Neck Surgery American Medical Association

Total Thyroidectomy Is Overly Aggressive Treatment for Papillary Carcinoma in a Thyroglossal Duct Cyst

Total Thyroidectomy Is Overly Aggressive Treatment for Papillary Carcinoma in a Thyroglossal Duct Cyst

Abstract

Total Thyroidectomy Is Overly Aggressive Treatment for Papillary Carcinoma in a Thyroglossal Duct Cyst Carcinoma arising in a TGDR is rare. one remove an entire thyroid gland It is usually diagnosed after the for TGDCa? excision of a presumed benign thy- The standard of care for thyro- roglossal duct cyst. A 1994 review re- glossal duct cyst diagnosis is not ported 155 cases in the world litera- FNA. Given the young age of many ture. Of these, approximately 80% of the patients with these...
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Publisher
American Medical Association
Copyright
Copyright 2002 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6181
eISSN
2168-619X
DOI
10.1001/archotol.128.4.464
Publisher site
See Article on Publisher Site

Abstract

Total Thyroidectomy Is Overly Aggressive Treatment for Papillary Carcinoma in a Thyroglossal Duct Cyst Carcinoma arising in a TGDR is rare. one remove an entire thyroid gland It is usually diagnosed after the for TGDCa? excision of a presumed benign thy- The standard of care for thyro- roglossal duct cyst. A 1994 review re- glossal duct cyst diagnosis is not ported 155 cases in the world litera- FNA. Given the young age of many ture. Of these, approximately 80% of the patients with these cysts and were papillary or a follicular variant the low incidence of malignancy as- of papillary thyroid cancer. The same sociated with them, routine FNA is review quoted from the Dutch reg- not practical or cost-effective. istry a TGDCa incidence of 0.48% Thyroglossal duct carcinoma (2/413). Unfortunately, since the lit- does not commonly metastasize, nor erature consists of multiple case re- does it frequently result in death. ports, long-term follow-up on a large Multicentric foci of papillary can- David Myssiorek, MD series of patients is lacking. Well- cer within the thyroid is a known en- differentiated carcinomas of the thy- tity, but given the low rate of recur- roid gland require long-term fol- rence in

Journal

JAMA Otolaryngology - Head & Neck SurgeryAmerican Medical Association

Published: Apr 1, 2002

References