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vol.67 número2MEDICIÓN DE NIVELES DE PARATHORMONA COMO PREDICTOR DE HIPOCALCEMIA SINTOMÁTICA EN EL POST-OPERATORIO PRECOZ DE TIROIDECTOMÍA TOTAL índice de autoresíndice de materiabúsqueda de artículos
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Revista chilena de cirugía

versión On-line ISSN 0718-4026

Resumen

CABANE T, Patricio et al. Thyroglossal duct cyst with papillary carcinoma. Rev Chil Cir [online]. 2015, vol.67, n.2, pp.141-146. ISSN 0718-4026.  http://dx.doi.org/10.4067/S0718-40262015000200005.

Introduction: In about 1-2% of cases of thyroglossal cyst may be neoplastic changes, mostly correspond to papillary thyroid carcinoma (75-85%). The aim of this paper is to present 9 cases of papillary thyroid carcinoma in thyroglossal duct cyst. Materials and Methods: Data were recorded retrospectively from patients diagnosed with papillary thyroid carcinoma in thyroglossal duct cyst treated at Hospital Clinico Universidad de Chile between 1999-2014. Results: From 142 cases operated for thyroglossal duct cyst, 9 cases of papillary cancer (6.34%) were recorded. The average age was 32 years. The average diameter of the lesion was 4.4 cm (SD 2.2 cm). 8 patients underwent total thyroidectomy; a simultaneous thyroid cancer was diagnosed in 3 of them. In 6 cases was added iodine therapy. In only one patient a lymph nodal dissection was performed. We do not observe any surgical complication. A solid component in preoperative ultrasonographic study is suspicious of malignancy. The average follow-up time was 85 months. There is no recurrence or mortality in this group of patients. Conclusions: Although the safest long-term management is Sistrunk surgery associated with thyroidectomy and radioiodine in selected cases, these patients must be evaluated by a multidisciplinary group and thyroidectomy should be considered in high surgical volume center, in order to minimize complications.

Palabras clave : Thyroglossal duct; cyst; papillary carcinoma; thyroidectomy.

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