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Image Based Question – 74732

Question

A young lady presented with a midline neck swelling as seen below which moves with deglutition and swallowing. It is stable in size for last one year. What is the most likely diagnosis?

A. Branchial cyst

B. Cervical lymphadenopathy

C. Thyroglossal cyst

D. Thyroid adenoma

 

Show Answer

Correct Answer » C

Explanation

Answer-C. Thyroglossal cyst

Thyroglossal Cyst: The diagnosis usually is established by observing a 1- to 2-cm, smooth, well-defined midline neck mass that moves upward with protrusion of the tongue.

Moves up with protrusion of tonguea as the thyroglossal tract is attached to the tongue.

Moves with deglutition.

Treatment

  • Sistrunk operation: En-bloc cystectomy & excision ofthe central hyoid bone to minimize recurrence.
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