Preoperative evaluation of thyroglossal duct cysts: children versus adults—is there a difference?

BackgroundThyroglossal duct cysts (TGDCs) are common in children but also present in adults. This study evaluates the preoperative management and postoperative outcomes in patients with a resected TGDC.MethodsA retrospective analysis was performed on patients with a surgically treated TGDC. Clinicopathologic variables and treatment outcomes were obtained by chart review.ResultsA total of 79 patients (44 pediatric and 35 adult) were identified. The majority of patients in both groups presented with a neck mass. Compared with children, adults were significantly more likely to undergo preoperative imaging and fine-needle aspiration biopsy. Malignancy was not identified in any patient on preoperative workup or postoperative pathology.ConclusionsAdults with a TGDC are more likely to undergo preoperative imaging and biopsy. The infrequent occurrence of TGDC cancer or concurrent thyroid pathology suggests that the diagnosis of a TGDC may be made on clinical grounds in adult patients although ultrasound (±fine-needle aspiration biopsy) may be a useful supplementary modality.