Lingual Thyroid Carcinoma With Nodal Metastasis

Abstract

A case of lingual papillary thyroid carcinoma with cervical metastasis is reported. Treatment is best managed with surgical excision of all thyroid tissue followed by radioactive iodine ablation. Surgical approaches to the tongue base need to be considered based on the size of the lingual primary tumor and the need to address lymph node metastases gland. This is the first reported case in the literature of lingual papillary thyroid carcinoma presenting with cervical nodal metastasis in a female with absence of an orthotopic thyroid gland. This is also the first report to show that papillary and not follicular cell carcinoma is the predominating histopathology in lingual thyroid carcinoma.

Lingual Thyroid Carcinoma: A Case Report and Review of Surgical Approaches in the Literature

“…28 In the transoral group, persistent disease requiring additional surgery was found in the neck or at the primary site in 3 of 7 cases. 1,18,24 No reports of persistent disease requiring additional surgery or treatment were noted in the 8 transcervical/trans-hyoid approaches, 3,7,10,11,13,21,25 the Trotter procedure, 9 and the 2 lateral pharyngotomies. 6,8 Long-term follow-up was limited, with patients rarely seen more than 3 months after treatment.…”

Lingual Papillary Thyroid Carcinoma with Bilateral Neck Node Metastasis

“…16 We report a case of lingual thyroid carcinoma with cervical metastasis and absent orthotopic thyroid gland. Kennedy and Riefkohl 17 have reported a similar case in 2007 and claimed the first cases reported in the literature of its own kind.…”

Hashimoto's thyroiditis: an accidental discovery of a lingual thyroid in a 7-year-old child

“…The majority of these tumours are of the follicular type, while papillary carcinomas are found in 23% of cases. This contrasts with normal thyroid gland neoplasms, whose predominant types are papillary 4 9 10…”