Abstract

Answer C. Routine referral to ear, nose and throat (ENT) specialists for surgical excision
The clinical picture is suggestive of a thyroglossal cyst. Thyroglossal cysts are remnants of the tract via which the thyroid gland descends into the neck from the foramen caecum. It can present as a cystic swelling below or at the level of the hyoid bone within the midline. On examination, the cyst moves superiorly on protrusion of the tongue or on swallowing. They have a tendency to present following an upper respiratory tract infection. Surgical intervention is usually indicated to prevent future infections.
InnovAiT article: Neck lumps. DOI: 10.1177/1755738018760648.
