We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Special Feature |

Pathological Case of the Month FREE

John J. Buchino, MD; Mary E. Fallat, MD; Vicki L. Montgomery, MD
[+] Author Affiliations

From the Departments of Pediatrics (Drs Buchino and Montgomery), Pathology (Dr Buchino), and Surgery (Dr Fallat), University of Louisville School of Medicine, Louisville, Ky; and the Department of Pathology (Dr Buchino), Kosair Children's Hospital, Louisville.

Section Editor: Enid Gilbert-barness, MD

Arch Pediatr Adolesc Med. 1999;153(9):999. doi:10.1001/archpedi.153.9.999.
Text Size: A A A
Published online

A 10-YEAR-OLD GIRL was referred to us for surgical evaluation of an asymptomatic cystic nodule in the upper midline neck that had been present for 2 months. The nodule was noticed by her mother when the child was looking at the ceiling. The child was otherwise healthy with no signs or symptoms of thyroid disease. On examination, the nodule measured approximately 1.5 cm in diameter and was closely associated with the hyoid bone. The nodule was not very mobile to manipulation, but moved freely with tongue motion. The thyroid gland was palpably normal and there was no cervical adenopathy. Thyroid function test results were normal. Presumptive diagnosis was a thyroglossal duct cyst. A standard Sistrunk procedure was done with excision of the cyst in continuity with the mid portion of the hyoid bone. Postoperative healing was uneventful.

Microscopic examination of the mass is depicted in Figure 1, Figure 2, Figure 3, and Figure 4.




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

6 Citations

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
PubMed Articles

The Rational Clinical Examination: Evidence-Based Clinical Diagnosis
Quick Reference

The Rational Clinical Examination: Evidence-Based Clinical Diagnosis
Quick Reference