A Central midline neck swelling is noted in a 4 yr old girl posted for tonsillectomy. The swelling is, painless. mobile, and cystic, just below the hyoid bone of size 2x1.1x1cm. U/S showed a thick walled cystic lesion. Management would include
Mid line cystic swelling, mostly just below hyoid is thyroglossal cyst. Treatment is surgical removal (Sistrunk operation).
Surgical removal
Antibiotics
Percutaneous aspiration
Chest X-ray
Endocrinology and breast