An uncommun cause for thyroid cysts: about 5 cases and review of litterature

Houas Jihene; Heyfa Belhadj-Miled; Monia Ghammam; Wassim El Ghali; Omri Malika El; Abir Meherzi; Mouna Bellakhdhar; El Abed Yosra Hasni; Wassim Kermani; Mohamed Abdelkafi

doi:10.1530/endoabs.99.EP578

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Endocrine Abstracts (2024) 99 EP578 | DOI: 10.1530/endoabs.99.EP578

ECE2024 Eposter Presentations Thyroid (198 abstracts)

An uncommun cause for thyroid cysts: about 5 cases and review of litterature

Houas Jihene ¹ , Heyfa Belhadj-Miled ¹ , Monia Ghammam ¹ , El Ghali Wassim ² , Malika El Omri ¹ , Abir Meherzi ¹ , Mouna Bellakhdhar ¹ , Yosra Hasni El Abed ³ , Wassim Kermani ¹ & Mohamed Abdelkafi ¹

Err

Author affiliations

¹Farhat Hached Hospital, ENT Department, Sousse, Tunisia; ², Department of Anaesthesia, Sousse, Tunisia; ³, Department Of Endocrinology, Sousse, Tunisia

Introduction: While hydatid cysts can manifest in various organs, reports on their occurrence in the thyroid gland are limited in the literature. This report aims to present five cases of thyroid hydatid disease along with a comprehensive literature review.

Materials and Methods: A retrospective analysis was conducted on 5 patients who underwent surgical intervention for thyroid hydatid cysts between 1982 and 2023.

Results: The average age of the patients was 55.8 years, ranging from 31 to 79 years, and none had a significant pathological history. Consultation was sought due to anterior basicervical swelling, raising suspicion of a thyroid nodule. Thyroid ultrasound revealed a multivesicular fluid formation with a regular, thin wall in 4 cases and calcification in one case. Thyroid scintigraphy, performed in 4 patients, indicated a cold nodule. All patients exhibited normal thyroid function. Three patients also presented with hydatid cysts in other organs. Surgical treatment was individualized for each cyst, guided by intraoperative macroscopic observations and histopathological findings.

Conclusion: Although rare, hydatid disease affecting the thyroid gland should be considered in the differential diagnosis of cystic lesions in patients with hydatid cysts in other organs or those hailing from endemic regions. Treatment exclusively involves surgical intervention to excise the cyst without rupture. The prognosis is excellent in cases where total cyst removal is achieved without rupture.