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March 12, 1982

A Thyroglossal Cyst Lined by Gastric Epithelium

JAMA. 1982;247(10):1406. doi:10.1001/jama.1982.03320350020010

To the Editor.—  The presence of gastric epithelium has a profound effect on the symptomatology of congenital cysts of foregut derivation.1 Peptic ulceration with penetration of the trachea has caused death in patients who had dorsal enteric mediastinal cysts that were so epithelialized.2 We report a case of a thyroglossal cyst containing gastric epithelium as part of its lining.

Report of a Case.—  A 12-year-old boy was admitted for excision of a lump in the front of his neck that had been present for ten years. A 2-cm mass in the anterior midline of the neck was the only abnormality on examination. This was round and soft and moved upward when the patient swallowed or protruded his tongue. Thyroid function study results were normal. The mass did not concentrate radioiodine.At surgery a cyst was found that was connected to the hyoid bone by a cordlike structure. The