Korean J Otorhinolaryngol-Head Neck Surg.  2015 Jan;58(1):48-51. 10.3342/kjorl-hns.2015.58.1.48.

A Case of Pyriform Sinus Fistula Concurrent with Papillary Thyroid Carcinoma in a 72-Year-Old Patient

• Jung YY
• Ahn D
• Kim H
• Sohn JH

• KMID: 2277931
• DOI: http://doi.org/10.3342/kjorl-hns.2015.58.1.48

Abstract

Since branchial anomalies are developmental disorders, pyriform sinus fistula (PSF) has been considered as a pediatric disease, and most reports of PSF with clinical symptoms have thus been on neonatal and young children. There are only a few case reports worldwide, of PSF found in adult patients. Here, we report a case where the patient's initial symptom of PSF occurred at the age of 72. Interestingly, papillary thyroid carcinoma (PTC) was concurrently identified on computed tomography during the evaluation for PSF. Chemical cauterization and total thyroidectomy was performed for the treatment of PSF and PTC, respectively. This case report may contribute to increased awareness of PSF in adult patients and the possible coexistence of thyroid cancer in these patients.

Keyword

Adult; Branchial cleft anomalies; Fistula; Pyriform sinus; Thyroid cancer

MeSH Terms

Adult
Aged*
Cautery
Child
Fistula*
Humans
Pyriform Sinus*
Thyroid Neoplasms*
Thyroidectomy