Presentation and Management of Thyroid Hydatid Cyst: A Comprehensive Systematic Review of the Literature
Abstract
Introduction
Hydatid cysts of the thyroid gland, though rare, pose a diagnostic and therapeutic challenge. This systematic review summarizes current knowledge on the presentation, diagnosis, and management.
Methods
A systematic review of the published studies of thyroid hydatid cysts was conducted. The included studies of thyroid hydatid cysts had the following properties: 1) The thyroid infection was confirmed by diagnostic modalities, surgical findings, or histopathology. 2) The case presentation was provided in the study. 3) The cyst(s) were originally located or adhered to the thyroid and did not rupture into it from the other adjacent structures or organs.
Results
Overall, 39 studies were compatible with the inclusion criteria. Turkey had the highest case occurrence (36%). Female predominance (59%) and a mean age of 38.33 years were observed. Mass (79.5%) was the most common symptom, followed by hoarseness of voice (4%). Serology (18.75% positive) and ultrasound (77.5%) were primarily used for diagnosis. Surgery was the mainstay of treatment (96%), with total thyroidectomy (32.6%) and left hemithyroidectomy (16%) being the most common approaches. No recurrence was reported in the follow-up period (0%).
Conclusion
This review highlights the rarity, clinical presentation, diagnosis, and successful surgical management of thyroid hydatid cysts. Further research is needed to optimize diagnostic methods and explore alternative treatment options.
References
- Sultana N, Shah W, Ullah S, Ali M, Basharat S. Primary hydatid cyst of the thyroid gland: a case report. Ann. Clin. Pathol. 2016;4(3):1070. doi:N/A
- Woolsey ID, Miller AL. Echinococcus granulosus sensu lato and Echinococcus multilocularis: A review. Research in veterinary science. 2021 Mar 1; 135:517-22. doi:10.1016/j.rvsc.2020.11.010
- Safarpour MM, Aminnia S, Dehghanian A, Borazjani R, Abbassi HR, Boland Parvaz S, Paydar S. Primary hydatid cyst of the thyroid glands: two case reports and a review of the literature. Journal of Medical Case Reports. 2023 Oct 4;17(1):417. doi:10.1186/s13256-023-04141-3
- Eshraghi M, Shahmoradi L, Ghoddoosi M, Sadati SJ. Diagnosis of primary hydatid cyst of thyroid gland: a case report. Biomolecular concepts. 2019 Jun 3;10(1):106-10. doi:10.1515/bmc-2019-0013
- Seimenis A. Overview of the epidemiological situation on echinococcosis in the Mediterranean region. Acta tropica. 2003 Feb 1;85(2):191-5. doi:10.1016/S0001-706X(02)00272-3
- Akbulut S, Demircan F, Sogutcu N. Hydatid cyst disease of the thyroid gland: report of two cases. International surgery. 2015 Apr 1;100(4):643-7. doi:10.9738/INTSURG-D-14-00124.1
- Jiang T, Guo Q, Ran B, Zhang R, Aji T, Shao Y. Hydatid cyst of the thyroid gland with tracheal fistula: a case report and review of the literature. Experimental and Therapeutic Medicine. 2019 Jul 1;18(1):573-9. doi:10.3892/etm.2019.7620
- Muhialdeen AS, Ahmed JO, Baba HO, Abdullah IY, Hassan HA, Najar KA, et al. Kscien’s List; A New Strategy to Discourage Predatory Journals and Publishers (Second Version). Barw Medical Journal. 2023:1(1);14. Available from: doi:10.58742/BMJ.V1I1.14
- Lada P, Lermite E, Hennekinne-Mucci S, Etienne S, Pessaux P, Arnaud JP. Primary hydatid cyst of the thyroid, an unusual localisation of hydatidosis. Presse Medicale (Paris, France: 1983). 2005;34(8):580-. doi:10.1016/s0755-4982(05)83982-x
- Rauhofer U, Prager G, Hörmann M, Auer H, Kaserer K, Niederle B. Cystic echinococcosis of the thyroid gland in children and adults. Thyroid. 2003;13(5):497-502. doi:10.1089/105072503322021179
- Cretu CM, Serpoi G, Cilievici SE. Thyroid cystic echinococcosis: case presentation and review of the literature. Ultraschall in der Medizin-European Journal of Ultrasound. 2008;29(S 1): PP_15_5. doi:10.1055/s-2008-1080009
- Sersar SI, Batouk AO. Echinococcosis, bilateral pulmonary complicated and non-complicated with bilateral thyroid gland. Asian Cardiovascular & Thoracic Annals. 2013;21(4):485. doi:10.1177/0218492312454668
- Zulfikaroglu B, Ozalp N, Keskek M, Koc M. Primary echinococcal cyst of the thyroid: report of a case. Surgery today. 2008; 38:833-5. doi:10.1007/s00595-007-3796-x
- Erkılıç S, Özsaraç C, Koçer NE, Bayazıt YA. Hydatid cyst of the thyroid gland in a child. International journal of pediatric otorhinolaryngology. 2004;68(3):369-71. doi:10.1016/j.ijporl.2003.11.002
- Çapoğlu İ, Ünüvar NE, Erdogan F, Yilmaz O, Caydere M. A hydatid cyst of the thyroid gland. Journal of International Medical Research. 2002;30(2):206-9. doi:10.1177/147323000203000216
- Ozaydin I, Ozaydin C, Oksuz S, Yildirim M. Primary echinococcus cyst of the thyroid: a case report. Acta Medica Iranica. 2011:262-4. doi:N/A
- Gökçe C, Patiroğlu T, Akşehirli S, Durak AC, Keleştimur F. Hydatic cyst in the thyroid gland diagnosed by fine-needle aspiration biopsy. Thyroid. 2003 Oct 1;13(10):987-9. doi:10.1089/105072503322511409
- Ghawil M, Ben Omar N, Shatani A, Belhaj S, Doggah M. Primary hydatid cyst of the thyroid gland in a Libyan child. InHORMONE RESEARCH IN PAEDIATRICS 2023 Sep 1 (Vol. 96, pp. 437-437). ALLSCHWILERSTRASSE 10, CH-4009 BASEL, SWITZERLAND: KARGER. doi:N/A
- Jain SK, Jamdade PT, Muneshwar SS, Ambulgekar VK, Panzade SM. Hydatid cyst of thyroid: an unusual cause of stridor. Indian Journal of Otolaryngology and Head and Neck Surgery. 2005 Jan; 57:80-1. doi:10.1007/BF02907641
- Salih AM, Abdulla ZY, Mohammed DA, Jwamer VI, Ali PG, Hamasaeed AG, Shkur HH, Omer JK, Salih RQ, Mohammed SH, Muhialdeen AS. Hydatid cyst of thyroid gland, a rare case report with a literature review. International Journal of Surgery Case Reports. 2020 Jan 1; 67:267-70. doi:10.1016/j.ijscr.2020.02.019
- Hoysal DR, Kulkarni S. Isolated primary hydatid disease of thyroid presenting as a solitary nodule: A rare case report. Indian Journal of Case Reports. 2019 Feb 26:79-81. doi:N/A
- Azendour I, Boulaich M, Ayoubi A, Oujilal A, Essakalli L, Kzadri M. Primary hydatid cyst of the thyroid gland. International Journal of Otolaryngology. 2011 Jan 1;2011. doi:10.1155/2011/713089
- Rajabian R, TAVASSOLl M, GHIASSI T, SHAKIB I M. Hydatid cyst of the thyroid. Medical Journal of The Islamic Republic of Iran (MJIRI). 1991 Nov 10;5(3):165-6. doi:N/A
- Erbil Y, Barbaros U, Baspinar I, Deveci U, Kapran Y, Bozbora A, Aral F, Özarmagan S. Hydatid cyst of the thyroid gland: two case reports. Infectious Diseases in Clinical Practice. 2005 Nov 1;13(6):318-20. doi:10.1097/01.idc.0000168480.11589.fb
- Bouomrani S, Souissi O, Regaieg N, BenHamed M. Primary Hydatid Cyst of the Thyroid Gland Revealed by Primary Hypothyroidism. Journal of Infectious Disease & Travel Medicine. 2018;2(3):000121. doi:10.23880/JIDTM-16000121
- El Bousaadani A, El Mahdoufi R, Roubal M, Mahtar M. Thyroid hydatid cyst: an unusual site. doi:10.1016/j.anorl.2015.11.005
- Yilmaz M, Akbulut S, Sogutlu G, Arabaci E, Kayaalp C. Hydatid cyst of the thyroid gland: report of three cases. Surgery today. 2013 Aug; 43:937-41. doi:10.1007/s00595-012-0269-7
- Eken H, Isik A, Balci G, Firat D, Cimen O, Soyturk M. A rare case of isolated cystic hydatid of thyroid gland. Medicine. 2016 Mar;95(10). doi:10.1097/MD.0000000000002929
- Çıkım AS, Pişkin T, Dirican A, Mecit E, Kahraman L, Olmez A, Kırımlıoğlu V. Hydatid cyst in thyroid gland: a case report. Journal of Inonu University Medical Faculty. 2010 Jul 28;14(3):185-7. doi:N/A
- Bastanhagh MH, Fatourechi V, Rajabian R. Hydatid cyst presenting as a thyroid nodule: report of three cases. Acta Medica Iranica. 1995:31-4. doi:N/A
- Danilă R, Ionescu L, Livadariu R, Vulpoi C, Ciobanu D, Ungureanu MC. Primary hydatid cyst of the thyroid. Acta Endocrinol. (Buc.). 2015;11(4):529. doi:10.4183/aeb.2015.529
- Saha A, Paul UK, Kumar K. Diagnosis of primary hydatid cyst in thyroid by fine needle aspiration cytology. Journal of Cytology. 2007 Jul 1;24(3):137-9. doi: 10.4103/0970-9371.41904
- Ghanem M, Al Kazzaz MZ, Soliman A. Hydatid cyst in the neck, an unusual localization of the disease: a case report. International Journal of Surgery Case Reports. 2021 Aug 1; 85:106274. doi:10.1016/j.ijscr.2021.106274
- Chandra T, Prakash A. A case of hydatid cyst of thyroid. British Journal of Surgery. 1965 Mar;52(3):235-7. doi:10.1002/bjs.1800520324
- Avcu S, Ünal Ö, Kotan Ç, Öztürk M, Özen Ö. Submandibular and thyroid gland involvement of hydatid cysts: a very rare association with percutaneous treatment. Diagnostic and Interventional Radiology. 2010 Sep 1;16(3):251. doi:10.4261/1305-3825.DIR.1967-08.2
- Aydin S, Tek C, Dilek Gokharman F, Fatihoglu E, Nercis Kosar P. Isolated hydatid cyst of thyroid: An unusual case. Ultrasound. 2018 Nov;26(4):251-3. doi:10.1177/1742271X18770926
- Oksuz S, Pektas E, Yavuz M, Aksungur N, Cayir Y, Akcay MN. An unusual cause of hoarseness: Hydatid cyst of the thyroid. Trop Biomed. 2013 Dec 1;30(4):642-4. doi:N/A
- Bartın MK, Yılmaz EM, Arslan H, Tekeli AE, Karataş S. A case of primary hydatid cyst in the thyroid gland. Turkish Journal of Surgery/Ulusal cerrahi dergisi. 2015;31(2):94. doi:10.5152/UCD.2014.2668
- Pérez PJ, Felmer EO, Carrasco EC, Gabrielli NM, Torrijos CC, Bastias NJ. Thyroid hydatid cyst: report of one case. Revista Medica de Chile. 2008 Jul 1;136(7):896-9. doi:/s0034-98872008000700012
- Akpinar I, Tekeli S, Sen T, Sen N, Basar N, Cagli KE, et al. Extremely rare cardiac involvement: recurrent pericardial hydatid cyst. Internal Medicine. 2012;51(4):391-3. doi.org/10.2169/internalmedicine.51.6370
- Maleki F, Akhlaghi L, Tabatabaie F. Evaluation of Hydatid Cyst Antigen for Serological Diagnosis. Medical Journal of the Islamic Republic of Iran. 2023;37. doi:10.47176%2Fmjiri.37.87
- Baba, H. O., Salih, A. M., Abdullah, H. O., Hassan, H. A., Ali, R. K., Kakamad, F. H., Salih, R. Q., & Mohammed, S. H. (2022). Primary hydatid cyst of the posterior neck; a case report with literature review. International Journal of Surgery Open, 40, 100449. doi:10.1016/j.ijso.2022.100449
- Abdullah, Ari M., Rashid, Rezheen J., Tahir, Soran H., Fattah, Fattah H., Hama, Jihad Ibrahim, Abdullah, Hiwa O., et al. Diagnosis of a pulmonary hydatid cyst by fine needle aspiration: a case report with literature review. Annals of Medicine & Surgery 86(1): p 552-555, January 2024. doi:10.1097/MS9.0000000000001526
- Muhedin, S. S., Kakamad, F. H., Tahir, S. H., Baba, H. O., Salih, A. M., Qaradakhy, A. J., et al. Hydatid cyst in the neck mimicking lymphangioma; a case report with a brief literature review. Otolaryngology Case Reports. 2022;25: 100476. doi:10.1016/j.xocr.2022.100476
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.