Skip to main content Skip to main navigation menu Skip to site footer

Management of giant thyroglossal duct cyst in Dr. Moewardi Hospital Indonesia: A case report


Introduction: Thyroglossal duct cyst (TGDC) is a developmental abnormality in which the thyroglossal duct settles after the decline of the thyroid gland.A 57-year-old female patient presented with complaints of a lump in the middle of her neck that slowly enlarged. The lump was first realized around 10 years ago. When she swallowed, the lump also moved. The swelling was cystic, painless surrounded by healthy skin except for a small area that showed a sign of inflammation. The ultrasound and Magnetic resonance of the neck confirmed TGDC with a size of 120 x 100 x 50 mm. We performed a surgical excision on the cyst and the central part of the hyoid bone (sistrunk procedure) and sent the specimen for histopathological examination, to confirm the preoperative diagnosis. TGDC diagnosis and management are not related to age or size. Operative management standards are carried out with sistrunk procedures.

Case Description: The standard management of giant tyroglossal duct cyst is the sistrunk procedure with maximum result. The surgical procedure has been succesfully performed in this case.

Conclusion: The standard management of TGDC is the sistrunk procedure with maximum results. The surgical procedure has been successfully performed in this case. The standard diagnosis and management of TGDC are not related to the patient's age or cyst size.


  1. Brown RL, Azizkhan RG. Pediatric head and neck lessions. Pediatr. Clin. Nort Am. 1998;45:889.
  2. Meyrs NE. Thyroglossal duct cyst. In: Myers NE. Operative Otolaryngology Head and Neck Surgery. Philadelphia: W.B Saunders Company; 1997. p. 630-7.
  3. Noyek AM, Friedberg J. Thyroglossal duct and ectopic thyroid disorders. Otolaryngol. Clin. North Am. 1981;14:187.
  4. Mahnke CG, Janig U, Werner JA, Rudert H. Primary Papillary carcinoma of the thyroglossal duct: case report and review of the literature. Auris Nasus Larynx. 1994;21(4):258-263.
  5. Sauvageau A, Belley-cote EP, Racette S. Fatal Asphyxia by a thyroglossal duct cyst in an adult. J Clin Forensic Med. 2006;13(6-8):349-352.
  6. Allard RH. The thyroglossal cyst. Head Neck Surg. 1982;5:134.
  7. Ellis PD, Van Nostrand AW. The applied anatomy of thyroglossal tract remnants. Laryngoscope. 1977;87:765.
  8. Ghaneim A, Atklins P. The Management of Thyroglossal Duct Cysts. Int J Clin Pract. 1997;51(8):512-513.
  9. Chon SH, Shinn SH, Lee CB. Thyroglossal duct cyst within the mediastinum: an extremely unusual location. J Thorac Cardiovasc. Surg. 2007; 133:1671.

How to Cite

Putra, M. D. P., Purnomo, J., & Yarso, K. Y. (2021). Management of giant thyroglossal duct cyst in Dr. Moewardi Hospital Indonesia: A case report. Bali Medical Journal, 10(1), 181–183.




Search Panel

Muhammad David Perdana Putra
Google Scholar
BMJ Journal

Joko Purnomo
Google Scholar
BMJ Journal

Kristanto Yuli Yarso
Google Scholar
BMJ Journal