Papillary carcinoma in fine needle aspiration smears of a thyroglossal duct lesion.
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A study was undertaken to determine the nature of non-thyroid neck masses among Nigerians. Under the age of 30 years tuberculosis accounted for 39% of cases; at the age of over 30 years metastases to lymph nodes was responsible for the majority (29%). Tuberculosis is not a major cause of neck masses in Nigerians over the age of 30. Primary lymphomas accounted for 23% of all cases, and were encountered uniformly in all age-groups. Congenital lesions like cystic hygroma, thyroglossal duct cyst, and branchial cysts were uncommon.
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Carcinoma of the thyroglossal duct is a rare entity. In most cases, papillary carcinomas are reported. Follicular or squamous cell carcinomas are seldom. Insofar no capsular refraction exists, the best treatment seems to be the Sistrunk operation with postoperative thyroid suppression medication.
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The clinical entity described consists of intralingual ectopic salivary glands and ducts draining into the thyroglossal duct. The value of preoperative sinograms to demonstrate the condition is important; the use of methylene blue at operation is advocated to ensure complete removal.
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