PT  - JOURNAL ARTICLE
AU  - Ryan E. Nelson
AU  - Hassan Ahmad
AU  - Douglas M. Hildrew
AU  - Claire M. Lawlor
AU  - Rizwan Aslam
AU  - Andrew Sholl
AU  - Emad Kandil
TI  - Thyroglossal Duct Remnant with Follicular Hyperplasia Presenting After Total Thyroidectomy
DP  - 2016 Jun 20
TA  - Ochsner Journal
PG  - 154--157
VI  - 16
IP  - 2
4099  - http://www.ochsnerjournal.org/content/16/2/154.short
4100  - http://www.ochsnerjournal.org/content/16/2/154.full
SO  - Ochsner J2016 Jun 20; 16
AB  - 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.