A rare case of a concurrent large thyroglossal duct cyst with a base of tongue haemangioma.
An 85-year-old lady presented with a large midline neck mass. After 8 years of steady growth, the previously asymptomatic mass began to cause stridor and dysphagia. The patient's comorbidities included a previous partial glossectomy for haemangioma of the tongue, chronic obstructive pulmonary disease, congestive cardiac failure and obesity (body mass index >30). CT neck revealed the midline mass was cystic in nature, most likely a thyroglossal duct cyst. This mass was closely related to an angiomatous malformation involving the tongue, floor of mouth and left parotid. Fine needle aspiration cytology was consistent with a colloid goitre characterised as Thy-1. Due to her extensive comorbidities, surgical resection of the midline mass was deemed to be a high-risk procedure. A Sistrunk's procedure was performed. Dissection proved difficult due to the intimately related base of tongue haemangioma. Histopathology confirmed it to be a benign thyroglossal duct cyst. She made an uncomplicated postoperative recovery.
Department of Otolaryngology, Queen Elizabeth Hospital, Birmingham, UK.
Kate
K
McNamara
Oladejo
O
Olaleye
Joel
J
Smith
Dheeraj
D
Karamchandani
John
J
Watkinson
D000369:Aged, 80 and over; D005260:Female; D006391:Hemangioma / Q000150:complications*; D006801:Humans; D013955:Thyroglossal Cyst / Q000150:complications*; D014062:Tongue Neoplasms / Q000150:complications*