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Surgical management used the Sistrunk procedure for complete excision. Histopathology unexpectedly identified papillary thyroid carcinoma arising within a thyroglossal duct cyst. Discussion included further total thyroidectomy due to multinodular thyroid findings and emphasized careful evaluation of congenital-appearing cervical lesions.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/ultrasonographic-image-of-a-rare-case-of-papillary-thyroid-carcinoma-from-a-thyroglossal-cyst/413575/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/ultrasonographic-image-of-a-rare-case-of-papillary-thyroid-carcinoma-from-a-thyroglossal-cyst/413575.png","ImageObject",300,407,{"name":92,"@type":93},"MrHarris58","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-04","2026-09-28",true,{"@type":102,"interactionType":103,"userInteractionCount":34},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What symptoms led to medical consultation in this case?","Question",{"text":112,"@type":113},"A midline cervical mass had been present since childhood but remained stable and asymptomatic until progressive enlargement prompted consultation. Examination found a firm, mobile, non-tender swelling with low mobility during swallowing.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What did cervical ultrasonography reveal?",{"text":117,"@type":113},"Cervical ultrasonography showed a complex septated cystic nodular formation with a vascularized isoechoic solid component. The thyroid was multinodular, with no indication for fine needle biopsy and no lymphadenopathies.",{"name":119,"@type":110,"acceptedAnswer":120},"What unexpected diagnosis was made after surgery?",{"text":121,"@type":113},"After complete excision via the Sistrunk procedure, histopathology unexpectedly revealed papillary thyroid carcinoma arising within a thyroglossal duct cyst. Additional total thyroidectomy was discussed due to the multinodular thyroid.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},413575,1790813804,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":34,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":14,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":24,"preview_page_count":4},687212988360,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","Images in clinical medicine   \nUltrasonographic image of a rare case of papillary thyroid carcinoma from a thyroglossal cyst  \nAbdeljabbar Moussaoui, Faycal El Gendouz  \nCorresponding author: Faycal El Guendouz, Department of Endocrinology and Metabolism, Moulay Ismail Military Hospital, Meknes, [Morocco. el.guendouz@gmail.com](Morocco. el.guendouz@gmail.com)  \nReceived: 04 Oct 2025-Accepted: 14 Oct 2025-Published: 20 Oct 2025  \nKeywords: Thyroglossal cyst, nodular formation, papillary thyroid carcinoma  \nFunding: This work received no specific grant from any funding agency in the public, commercial, or non-profit sectors.  \nCopyright: Abdeljabbar Moussaoui et al. Pan African Medical Journal (ISSN: 1937-8688) . This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License ( [https://creativecommons.org/licenses/by/4.0/](https://creativecommons.org/licenses/by/4.0/)), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.  \nCite this article: Abdeljabbar Moussaoui et al. Ultrasonographic image of a rare case of papillary thyroid carcinoma from a thyroglossal cyst. Pan African Medical Journal. 2025;52(79) . 10. 11604/pamj.2025.52.79.49628  \nAvailable online at: [https://www.panafrican-med-journal.com//content/article/52/79/full](https://www.panafrican-med-journal.com//content/article/52/79/full)  \nUltrasonographic image of a rare case of papillary thyroid carcinoma from a thyroglossal cyst  \nAbdeljabbar Moussaoui1, Faycal El Gendouz2,3,&  \n1 Department of Otolaryngology Head and Neck Surgery, Moulay Ismail Military Hospital, Meknes, Morocco, 2 Department of Endocrinology and Metabolism, Moulay Ismail Military Hospital, Meknes, Morocco, 3 Human Pathology, Biomedicine and Environment Laboratory, Faculty of Medicine, Pharmacy, and Dentistry of Fez, Sidi Mohammed Ben Abdellah University, Fez, Morocco  \n&Corresponding author  \nFaycal El Guendouz, Department of Endocrinology and Metabolism, Moulay Ismail Military Hospital, Meknes, Morocco  \nImage in medicine  \nA 28-year-old female patient with no significant medical history presented with a midline cervical mass. The lesion had been present since childhood but remained stable and asymptomatic until recently, when progressive enlargement prompted medical consultation. Clinical examination revealed a firm, mobile, non-tender midline cervical swelling with low mobility during swallowing. Overlying skin appeared normal without inflammatory signs. The remainder of the otolaryngological examination was unremarkable. Cervical ultrasonography identified a complex septated cystic nodular formation containing a vascularized isoechoic solid component, the thyroid was multinodular with no indication for fine needle biopsy and there were no  \nlymphadenopathies. The patient underwent complete surgical excision via the Sistrunk procedure. Histopathological examination of theresected specimen unexpectedly revealed papillary thyroid carcinoma arising within a thyroglossal duct cyst. Additional treatment by total thyroidectomy was discussed with the respiratory care practitioner (RCP) in the presence of a multinodular thyroid. This case illustrates an unusual presentation of thyroid carcinoma within a thyroglossal duct cyst, highlighting the importance of comprehensive evaluation of even classic-appearing congenital cervical lesions. The ultrasonographic identification of a solid, vascularized component within a suspected thyroglossal duct cyst should raise suspicion for malignant transformation and guide appropriate surgical management.  \nFigure 1: cross-section of cervical ultrasound showing a septated midline cyst located above the thyroid cartilage, measuring 28x50x30 mm; B) an isoechoic tissue component adherent to the posterior cyst wall, measuring 12x11x10 mm, with central vascularization","cbCaifippTVNQ7Cy","https://ap.wps.com/l/cbCaifippTVNQ7Cy","pdf",714844,"English","# Clinical presentation\n## Imaging findings\n## Surgical and histopathological results\n## Additional management and clinical message","[{\"question\":\"What symptoms led to medical consultation in this case?\",\"answer\":\"A midline cervical mass had been present since childhood but remained stable and asymptomatic until progressive enlargement prompted consultation. Examination found a firm, mobile, non-tender swelling with low mobility during swallowing.\"},{\"question\":\"What did cervical ultrasonography reveal?\",\"answer\":\"Cervical ultrasonography showed a complex septated cystic nodular formation with a vascularized isoechoic solid component. The thyroid was multinodular, with no indication for fine needle biopsy and no lymphadenopathies.\"},{\"question\":\"What unexpected diagnosis was made after surgery?\",\"answer\":\"After complete excision via the Sistrunk procedure, histopathology unexpectedly revealed papillary thyroid carcinoma arising within a thyroglossal duct cyst. Additional total thyroidectomy was discussed due to the multinodular thyroid.\"}]","Ultrasonographic image of a rare case of papillary thyroid carcinoma from a thyroglossal cyst | PDF",1790595182]