Virtual Pediatric Hospital(tm) : A digital library of pediatric information

Home | Search | About Us | FAQ | Reviews | Contact Us
Follow us on Twitter @pedseducationTwitter icon and @pedsimagingTwitter icon

Additional pediatric resources: SearchingPediatrics.com | PediatricEducation.org Facebook iconTwitter iconRSS icon | GeneralPediatrics.com | Pediatric Commons


Virtual Pediatric Hospital: Correlapaedia - a Correlative Encyclopedia of Pediatric Imaging, Surgery, and Pathology: Case 16

Correlapaedia - a Correlative Encyclopedia of Pediatric Imaging, Surgery, and Pathology

Case 16

Michael P. D'Alessandro, M.D.,
Steven J. Fishman, M.D.,
Deborah E. Schofield, M.D.

Peer Review Status: Internally Peer Reviewed
Chief Complaint:
Three year old male with a midline neck mass.

Clinical History:
The patient was a 3 year old male with a large midline neck mass that caused discomfort.

Clinical Physical Exam:
Large midline mass in the neck.

icon gificon gifImages 1 and 2

Clinical Labs:
Non-contributory

Clinical Differential Diagnosis:
Thyroglossal duct cyst

Imaging Findings:
An I-123 thyroid scan showed tracer uptake solely in the midline neck mass.

icon gifImage 3

Imaging Differential Diagnosis:
Circular midline thyroid within a thyroglossal duct cyst.

Operative Findings:
Two and one-half years later, the child was taken to the operating room for elective removal of this mass due to the discomfort it caused, even though this meant removing the child's only functioning thyroid tissue. A transverse incision was made to expose the mass which was seen to be intimately adherent to the hyoid bone at its mid-point. A central tract extending up to the foramen cecum was identified and ligated. Then, the entire mass with its tract up to the foramen cecum was excised along with the central portion of the hyoid bone. After removal the mass was incised and seen to have a jelly-like cyst fluid.

icon gificon gifImages 4 and 5

Pathological Findings:
Examination of the surgical specimen revealed findings classic for a thyroglossal duct cyst containing thyroid gland tissue.

icon gifImage 6

Final Diagnosis:
Thyroglossal Duct Cyst containing Thyroid Gland Tissue

Follow-up and Prognosis:
The patient did well post operatively but must remain on thyroid hormone replacement for the remainder of his life due to the removal of all of his functioning thyroid tissue.

Similar Cases:
Case 12

References:
None

Title Page


Follow us on Twitter @pedseducationTwitter icon and @pedsimagingTwitter icon

Additional pediatric resources: SearchingPediatrics.com | PediatricEducation.org Facebook iconTwitter iconRSS icon | GeneralPediatrics.com | Pediatric Commons


Home | Search | About Us | FAQ | Reviews | Contact Us

Virtual Pediatric Hospital is curated by Donna M. D'Alessandro, M.D. [Google+ Profile] and by Michael P. D'Alessandro, M.D.

Please send us comments by filling out our Comment Form.

All contents copyright 1992-2014 Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D. and the authors. All rights reserved.

"Virtual Pediatric Hospital", the Virtual Pediatric Hospital logo, and "A digital library of pediatric information" are all Trademarks of Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D.

Virtual Pediatric Hospital is funded in whole by Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D. Advertising is not accepted.

Your personal information remains confidential and is not sold, leased, or given to any third party be they reliable or not.

The information contained in Virtual Pediatric Hospital is not a substitute for the medical care and advice of your physician. There may be variations in treatment that your physician may recommend based on individual facts and circumstances.

URL: http://www.virtualpediatrichospital.org/

This website is certified by Health On the Net Foundation. Click to verify. This site complies with the HONcode standard for trustworthy health information:
verify here.