Cutaneous Columnar Cysts Treatment & Management

Updated: Aug 27, 2018
  • Author: Niels Holm, MB, BCh, MMEd(Derm), FCDerm(SA); Chief Editor: William D James, MD  more...
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Treatment

Medical Care

In cases of secondary infection, systemic antibiotics are indicated.

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Surgical Care

Surgical excision of the entire thyroglossal duct cyst is indicated. Duct remnants and part of the hyoid bone are usually excised to prevent recurrence. Removal should be complete, and removal of the entire embryologic remnant should be attempted.

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Consultations

The following consultations may be warranted:

  • Dermatologist - For evaluation of skin lesions

  • Radiologist - For ultrasonography, CT scanning, MRI, and radionucleotide scanning

  • Pathologist - For histologic evaluation

  • Otolaryngologist, surgeon, or urologist - For surgical excision and repair

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