Dysfunctional ectopic thyroid gland: A case report

Stokić, Edita; Kljajić, Vladimir; Idjuski, Stevan; Benc, Damir; Popovic, Djordje S.; Protić, Mladjan; Crnobrnja, Veljko

doi:10.2298/sarh1412724s

Cited by 1 publication

(1 citation statement)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In such cases, nasendoscopy might be useful in diagnosis. If the thyroid dysfunction is not present or is subclinical, and local symptoms are not evident, patients may stay undiagnosed until adulthood [33], as in our two patients. Prolonged TSH overstimulation might lead to thyroid tissue hyperplasia or nodular goitre development (as in one of our patients), which might result in the gradual development of compressive symptoms or even the presence of a palpable tumour of the tongue.…”

Section: Szkolenie Podyplomowementioning

confidence: 79%

Ektopia tarczycy — wyzwania diagnostyczne i terapeutyczne przed wprowadzeniem przesiewowego badania TSH noworodków i po nim

Szczepanek‐Parulska

Hernik

Ruchała

2017

Endokrynologia Polska

View full text Add to dashboard Cite

Despite the fact that TSH screening in newborns is currently conducted in most developed countries, patients with thyroid ectopy born before the procedure was introduced or those in whom the screening failed to establish diagnosis, might still appear. In this paper we revise the current state of knowledge regarding the clinical presentation, diagnosis, and treatment of patients with thyroid ectopy. As an example, we report diagnostic and therapeutic difficulties in our three patients with thyroid ectopy remaining undiagnosed and untreated during early childhood. Introduction of neonatal screening for congenital hypothyroidism does not guarantee that all patients with thyroid ectopy will be correctly diagnosed and properly treated, due to the possibility of falsely negative results of TSH screening or lack of compliance from parents. Visualisation of an ectopic thyroid on ultrasound examination may be challenging for unexperienced sonographers; muscles in the thyroid bed may be misdiagnosed as heterogeneous and hypoechogenic thyroid gland with features suggesting autoimmune thyroid disease. Thyroid scintiscan is crucial for confirmation of the diagnosis of thyroid ectopy.In conclusion, hypothyroidism due to thyroid developmental anomaly should be taken into consideration in cases of hypothyroidism and normal thyroid autoantibodies in a patient at any age. (Endokrynol Pol 2017; 68 (6): 708-714)

show abstract

Section: Szkolenie Podyplomowementioning

confidence: 79%