Presents a female patient, 26 years old, was consulted by the anterior and lateral cervical tumor. On physical examination, tumor earlier mobile, painless, without signs of inflammation at cervical media that ascends and descends with tongue protrusion as well as other tumor in jugular-carotid region median, mobile painless without signs of inflammation. If the patient underwent a fine needle aspiration of tumor cells that returns without atypia. Tomography was performed before surgery and showed heterogeneous lesions, well-defined. It is realized Sistrunk procedure performs more resection of suspicious adenopathy at YCM right and lower the drop of the same malignancy. Pathological anatomy informs papillary cancer thyroid tireoglossus cyst channel with nodal metastasis. That's why in a second place if total thyroidectomy and thyroid gland metastases notes that subsequently performs treatment with iodine 131. This is a type of cancer that is usually diagnosed after surgery, probably due to low incidence of this pathological condition less than 1% given the infrequency of cases of malignancy of QCT, is a controversial decision to complete the surgery with resection of thyroid gland.