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Tuesday, October 11, 2016

A 5 Year Old Girl Presents With A Mass In Her Neck

A 5 year old girl with a mass in her neck is brought to the clinic for an evaluation.


Her mother says that this mass appeared 6 months ago and is increasing in size. There is no pain or discomfort. On examination , the mass is is the midline, inferior to the hyoid bone. Laboratory test reveal normal thyroid panel. Surgery was recommended after a CT scan is performed.

What is the most likely diagnosis?

A, Dermoid cyst
B. Ectopic thyroid gland
C. Lipoma
D. Thyroglossal duct cyst
E. Branchial cleft cyst.

Answer And Discussion:

D Thyroglossal duct cyst

Normally Thyroglossal duct cyst disappears during development of thyroid gland but in some cases the duct remains in the neck and forms a cyst. It appears in the midline of the neck and is painless. Surgery is recommended to prevent infection if the CT scan shows a normal thyroid gland  and thyroglossal duct cyst attached to it. All other options are possible causes but they are less common than the thyroglossal duct cyst.

1 comment:

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