Thyroglossal Duct Lipoma: A Case Report and a Systematic Review of the Literature for Its Management
Luca Giovanni Locatello,
Marilena Graziadio,
Elena D’Orlando,
Alfredo Vallone,
Cesare Miani,
Enrico Pegolo,
Maria Gabriella Rugiu
Affiliations
Luca Giovanni Locatello
Department of Otorhinolaryngology, Academic Hospital “Santa Maria della Misericordia”, Azienda Sanitaria Universitaria Friuli Centrale, Piazzale Santa Maria della Misericordia 15, 33100 Udine, Italy
Marilena Graziadio
Department of Otorhinolaryngology, Sant’Antonio Abate Hospital, Azienda Sanitaria Universitaria Friuli Centrale, 33028 Tolmezzo, Italy
Elena D’Orlando
Department of Otorhinolaryngology, Sant’Antonio Abate Hospital, Azienda Sanitaria Universitaria Friuli Centrale, 33028 Tolmezzo, Italy
Alfredo Vallone
Department of Otorhinolaryngology, Sant’Antonio Abate Hospital, Azienda Sanitaria Universitaria Friuli Centrale, 33028 Tolmezzo, Italy
Cesare Miani
Department of Otorhinolaryngology, Academic Hospital “Santa Maria della Misericordia”, Azienda Sanitaria Universitaria Friuli Centrale, Piazzale Santa Maria della Misericordia 15, 33100 Udine, Italy
Enrico Pegolo
Institute of Anatomic Pathology, Academic Hospital “Santa Maria della Misericordia”, Azienda Sanitaria Universitaria Friuli Centrale, Piazzale Santa Maria della Misericordia 15, 33100 Udine, Italy
Maria Gabriella Rugiu
Department of Otorhinolaryngology, Sant’Antonio Abate Hospital, Azienda Sanitaria Universitaria Friuli Centrale, 33028 Tolmezzo, Italy
Thyroglossal duct (TGD) remnants in the form of cysts or fistulas usually present as midline neck masses and they are removed along with the central body of the hyoid bone (Sistrunk’s procedure). For other pathologies associated with the TGD tract, the latter operation might be not necessary. In the present report, a case of a TGD lipoma is presented and a systematic review of the pertinent literature was performed. We present the case of a 57-year-old woman with a pathologically confirmed TGD lipoma who underwent transcervical excision without resecting the hyoid bone. Recurrence was not observed after six months of follow-up. The literature search revealed only one other case of TGD lipoma and controversies are addressed. TGD lipoma is an exceedingly rare entity whose management might avoid hyoid bone excision.
