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Int J Surg Case Rep. 2011;2(8):313-5. doi: 10.1016/j.ijscr.2011.10.004. Epub 2011 Oct 19.

Lingual thyroid: A case report.

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1
General Surgery Department, West Hertfordshire Hospitals NHS Trust, UK.

Abstract

INTRODUCTION:

Lingual thyroid (LT) gland is a rare clinical entity which was found to occur due to the failure of the thyroid gland to descend to its normal cervical location during embryogenesis. The presence of an ectopic thyroid gland located at the base of the tongue may present with symptoms like dysphagia, dysphonia, upper airway obstruction or even hemorrhage at any time from infancy through adulthood.

PRESENTATION OF CASE:

We are presenting a case of 5-year-old girl who presented with lingual thyroid, treated with Suppression treatment followed by elective surgical resection.

DISCUSSION:

Incidence of ectopic lingual thyroid gland is reported as 1:100,000. It is more common in females. Most of presentations due to oropharyngeal obstruction, including dysphagia, dyspnea and dysphonia. Investigations include thyroid function tests, neck US, Technetium scanning and C.T.

CONCLUSION:

Lingual thyroid is a rare anomaly. Dysphagia and dysphonia are common presenting symptoms. Pathogenesis of this ectopic is unknown. Different types of surgical approaches have been described in the management.

KEYWORDS:

Dysphagia; Ectopic; Thyroid gland

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