A patient 12-year-old presents with midline neck swelling , this swelling moves upwards during protrusion of tongue, patient describes this as painless and gives a long history of its presence, what is the most common site for this condition?
Suprahyoid
Subhyoid
Beneath the foramen cecum
Floor of mouth
Ans. (b) Subhyoid.Thyroglossal cyst is the diagnosis of the given image, this is a remnant of thyroglossal duct.* It is an example or tubulodermoid lined by pseudostratified ciliated columnar epithelium* Cholesterol crystals may be present and carcinomatous changes may occur* Positions in order of frequency1. Subhyoid2 In front of thyroid3. Suprahyoid4. At the level of cricoids cartilage5. In the floor of the mouth6. Beneath the foramen cecum* Swelling moves with deglutition and moves up with protrusion of the tongue* It should be excised due to presence of lymphatic tissue in the wall infectionImage source- style="font-family: Times New Roman, Times, serif">
Evaluation of a Thyroid Nodule