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Thyroglossal duct cyst papillary carcinoma: A treatment puzzle yet to be solved!

Thyroglossal duct cyst (TGDC) is the most common congenital aberration of the thyroid gland. On the contrary, TGDC malignancies are rare events constituting < 1% of all cases of thyroid carcinoma reported in the world. The rarity of the lesion precludes the formulation of clear guidelines and makes management decisions difficult. We describe a case of a young male who presented with a midline neck swelling and underwent radical Sistrunk's procedure and total thyroidectomy for primary papillary carcinoma in a TGDC. The need of total thyroidectomy in high-risk cases needs clinical suspicion and careful consideration of this differential.