Papillary carcinoma thyroid in a thyroglossal cyst: A management dilemma

Thyroglossal duct remnants can harbour malignant changes in them and can present as thyroglossal cysts which are picked up incidentally in postoperative histopathology. Management of these thyroglossal duct carcinomas has always been a controversy to decide on the need to perform a total thyroidectomy in these patients and the adjuvant treatment that’s required. We present a case of a 48-year-old female patient of thyroglossal duct cyst carcinoma who had to be taken for total thyroidectomy and radio iodine ablation during treatment of the lesion. Careful treatment planning aids are necessary in the management of such lesions.