Thyroglossal duct cyst (neck cyst)


Description

During fetal development, the thyroid gland migrates from the throat to the bottom of the neck. As it moves, it can drag other throat tissue along with it. This tissue can form cysts during childhood. The cysts cause a painless mass in the middle of the neck that moves with swallowing or tongue movement. They may become infected, leading to the development of an abscess.

Symptoms

Painless mass in the middle of the neck that moves with swallowing or with protrusion of the tongue. If infected, it can cause neck pain and tenderness over the swelling.

Tests

Common tests used for diagnosis and treatment

Workup:
A history and physical exam will be performed. Usually no other tests are required. An ultrasound may be ordered.

Tests:
CT Scan, Magnetic resonance imaging (MRI)

Specialists:
General Surgery

Treatment

Antibiotics are prescribed if an infection is present. The only definitive treatment is surgical removal.
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