Upper neck @entity3557 (UPTC): A new proposed term for the composite of thyroglossal duct cyst-associated @entity3557 , @entity3557 , and Delphian node XXXX metastasis.

@entity1 @entity154 @entity3557 @entity5 @entity189 @entity1315 @entity1374
OBJECTIVES/HYPOTHESIS: Thyroglossal duct cyst (TGDC) is a common @entity154 , but TGDC @entity189 is rare. @entity189 management is controversial, especially that of the orthotopic thyroid gland. We aim to provide an insight into the pathologic basis of this management controversy through the review of 28 @entity5 cases, thus far the largest such series to our knowledge. STUDY DESIGN: Retrospective. METHODS: Twenty-eight cases recorded as @entity5 in the hospital database were reviewed; their initial clinical diagnosis from medical chart review (DX1) and final pathological review diagnosis (DX2) through pathology slides review by our pathologist (blinded to DX1) were compared. The thyroid gland management and pathology were evaluated. RESULTS: In the 28 TGDC @entity189 (hospital-recorded diagnosis) @entity1 , DX1 and DX2 were respectively reported as 53% and 14% TGDC @entity189 , 11% and 29% as @entity1315 primary, and 4% and 25% as metastatic Delphian node. Thirty-two percent of cases were in the indeterminate category, in both DX1 and DX2, but included different @entity1 . Thyroidectomy was performed in 54% of the cases, @entity3557 ( @entity3557 ) was reported in 37% of these thyroid glands. Concurrent @entity1374 was reported in all Delphian node and @entity3557 @entity1 . CONCLUSION: The diagnosis of @entity5 comprises a heterogeneous group that includes true @entity5 , @entity1315 primary, Delphian node metastasis, and indeterminate cases. We propose a new terminology of upper neck @entity3557 (UPTC) to denote this heterogeneous group and recommend a rational algorithm for management. Correct pathologic subcategory and thyroid ultrasonography are essential for optimal management of thyroid gland in UPTC cases. LEVEL OF EVIDENCE: 4. Laryngoscope, 2015.
