@article {Nelson154, author = {Ryan E. Nelson and Hassan Ahmad and Douglas M. Hildrew and Claire M. Lawlor and Rizwan Aslam and Andrew Sholl and Emad Kandil}, title = {Thyroglossal Duct Remnant with Follicular Hyperplasia Presenting After Total Thyroidectomy}, volume = {16}, number = {2}, pages = {154--157}, year = {2016}, publisher = {Ochsner Journal}, abstract = {Background: The thyroglossal duct fails to involute in up to 7\% of adults, creating a thyroglossal duct remnant (TGDR) attached to the hyoid bone. Thyroid malignancies have been reported in approximately 1\% of TGDRs. In previous reports of TGDR carcinoma, patients had radiographic evidence of a TGDR at initial clinical presentation. Alternatively, hypertrophy of a TGDR is well described in patients with hypothyroidism because of the growth of functional ectopic thyroid tissue. We present the case of a patient who had no radiographic evidence of a TGDR prior to thyroidectomy but presented 14 months after surgery with a recurrent cervical mass.Case Report: A 58-year-old female underwent total thyroidectomy for micropapillary thyroid cancer. Fourteen months later, she presented with an enlarging cervical mass. She underwent a Sistrunk procedure, and surgical pathology revealed a TGDR with compensatory glandular hypertrophy.Conclusion: To our knowledge, this is the first report of a TGDR follicular adenoma initially appearing as a result of compensatory thyroid glandular hypertrophy following total thyroidectomy for a micropapillary thyroid carcinoma. Our case presented a novel clinical dilemma regarding the best management for a patient with a new TGDR along with a recent history of micropapillary thyroid cancer.}, issn = {1524-5012}, URL = {https://www.ochsnerjournal.org/content/16/2/154}, eprint = {https://www.ochsnerjournal.org/content/16/2/154.full.pdf}, journal = {Ochsner Journal} }