Papillary carcinoma in thyroglossal duct remnants: presentation of four cases and decision procedure for prophylactic thyroid gland dissection.

Tradati,N; DePaoli,F; Benazzo,M; Andrle,J; Calabrese,L; Giugliano,G; Gibelli,B; Zurrida,S; Chiesa,F

doi:10.3892/or.7.6.1349

Papillary carcinoma in thyroglossal duct remnants: presentation of four cases and decision procedure for prophylactic thyroid gland dissection.

Authors:
- N Tradati
- F DePaoli
- M Benazzo
- J Andrle
- L Calabrese
- G Giugliano
- B Gibelli
- S Zurrida
- F Chiesa
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Affiliations: Division of Head and Neck Surgery, European Institute of Oncology, 20141 Milano, Italy. nicoletta.tradati@ieo.it
Published online on: November 1, 2000 https://doi.org/10.3892/or.7.6.1349
Pages: 1349-1402

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Abstract

Papillary carcinoma in thyroglossal duct remnants is a rare and usually unexpected finding. It is controversial whether or not prophylactic thyroid gland dissection is necessary in such circumstances. We present our experience of four cases. Based on this, a consideration of published risk factors, and evaluation of the likelihood of a primary versus metastatic origin of the malignancy, we present a therapeutic decision procedure. When the thyroid is normal, the patient presents low-risk factors for thyroid cancer, and there is evidence that the malignancy is primary, removal of all thyroglossal duct remnants by the Sistrunk procedure is sufficient.