“…Unlike squamous cell carcinoma, which displays submucosal infiltration that may be difficult to evaluate macroscopically, lingual thyroid is more likely to be exophytic rather than ulcerous, and TC was more often described as encapsulated tumors or microscopic foci that developed in lingual thyroid in our literature review. 7,12,16,18 -20,22-23,26,28,30,32 -38,44,50 Another serious issue concerning the TORS procedure is that surgical assessment of the neck and total thyroidectomy in cases of thyroid cancer and/or multiple ectopic glands may be limited, although such techniques have been described by some authors. 12,54,55 Indeed, in their literature review, Stokes et al highlighted that a significant proportion of patients (3/7) who underwent a transoral procedure for follicular carcinoma in LT, were shown to have persistent disease in the neck or primary site, and later required additional surgery.…”