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A 62-year-old man experienced a common cold for 7 days. He presented to the clinic with a 2-day history of anterior neck pain and swelling. His body temperature was 37.4°C, and a soft, well-defined mass was palpated in the midline near the hyoid bone (Fig. 1A). Slight erythema and tenderness were noted at the same site. A contrast-enhanced neck computed tomography (CT) was performed (Fig. 1B).
Fig. 1(A) A soft, well-defined midline neck mass near the hyoid bone. (B) Contrast-enhanced neck computed tomography showing a cystic lesion surrounded by a thin, contrast-enhanced wall of approximately 35 mm in diameter, located slightly left of the lower jaw midline, superior and anterior to the hyoid bone.
]. With infection/abscess (about 20% of cases), the cysts become painful, with erythema and calor, and patients experience neck pain. CT examination reveals a clearly defined uniform cyst surrounded by a thin, contrast-enhanced wall. In patients with repeated infection, the Sistrunk procedure can be used (excision of a part of the hyoid bone and the residual thyroglossal duct along with the cyst) [
Therefore, it is important to consider a thyroglossal duct cyst in patients presenting with a cystic mass near the hyoid bone in the midline anterior neck caused by an upper respiratory tract infection.
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