Lingual Thyroid—Conservative Management or Surgery? A Case Report

Kumar, Santosh; Kumar, Deepak; Thirunavukuarasu, R.

doi:10.1007/s12262-012-0518-4

Cited by 22 publications

(40 citation statements)

References 5 publications

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“…Conservative treatment had proved its efficiency in many studies. 11,12,[16][17][18] Indeed, administration of a suppressive dose of thyroid hormones aims to decrease the TSH level, therefore it can reduce the ectopic glandular volume and consequently reduce all the compressive symptoms.…”

Section: Discussionmentioning

confidence: 99%

Lingual thyroid with hypothyroidism in a child

Ramanathan

Veerapandian

Sundari

2019

Int J Contemp Pediatr

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Ectopic thyroid is an uncommon embryological abnormality characterized by the presence of thyroid tissue in a site other than its usual pretracheal location. Of all ectopic thyroids 90% are found to be lingual. Lingual thyroid is estimated to occur in 0.2 per cent of normal children, being more common in females. It is a rare congenital anomaly appearing with prevalence of 1:100000. This embryological anomaly originates from failure of thyroid gland to descend from foramen caecum to its normal pre laryngeal site. Interestingly, only 0.01% of these patients present with any overt symptoms. If symptomatic: dyspnoea dysphagia, dysphonia and stomatolalia are some common clinical features associated with it. In females these symptoms manifest during stress as in pregnancy, puberty and menstruation. Some rare clinical presentations reported in literature are hyperthyroidism, malignancy and hemoptysis. Hereby authors are reporting a 7-year-old female child who presented to our department with dysphagia who on evaluation diagnosed to have lingual thyroid with hypothyroidism.

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Section: Discussionmentioning

confidence: 99%

Lingual thyroid with hypothyroidism in a child

Ramanathan

Veerapandian

Sundari

2019

Int J Contemp Pediatr

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“…Asymptomatic cases can be monitored with suppressive hormonal therapy aiming at reduction of ectopic tissue volume as in lingual thyroid 3 . Definitive treatment for lingual thyroid is surgical excision provided that adequate thyroid tissue is found in the neck 5 . Indications for surgical intervention are dyspnoea or dysphagia, suspicion of malignancy, uncontrolled hyperthyroidism and repetitive or severe bleeding.…”

Section: Discussionmentioning

confidence: 99%

Lingual thyroid presenting as menorrhagia

Hettiarachchi

Nazmy

Thilakarathna

et al. 2019

Sri Lanka J Child Health

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Case reportA previously healthy, 12 year old girl presented with abdominal pain, exertional dyspnoea and heavy menstrual bleeding with clots for fifteen days. There were no other bleeding manifestations. She was the third child of healthy nonconsanguineous parents with two healthy siblings. Since she attained menarche two months prior to admission, she had monthly periods which lasted two weeks. Her development was age appropriate with average school performance. Her height was 134 cm (0.4 th -2 nd centile), weight 38 kg and body mass index (BMI) 21.2 kg/m 2 (85 th -95 th centile). Her height was within mid-parental height range. She had a nonverbal IQ of 121. She was pale without any features of heart failure.

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“…Cases of ectopic thyroid also have been reported in rare sites such as submandibular, prelaryngeal, tracheal, laterocervical, and esophageal sites where as the most frequent sites are lingual, sublingual, thyroglossal, laryngotracheal and lateral cervical. Amongst thyroids the lingual incidence is 1 in 3000 4 .…”

Section: Discussionmentioning

confidence: 99%

“…Although there have been reports of patients being asymptomatic 4 , clinical symptoms could vary subjectively and most of the patients present with dysphagia, dysphonia, sore throat, epistaxis, and upper airway obstruction. About 70% of patients with this condition are hypothyroid, as in our case, and a further 10% had been reported with cretinism 4 .…”

Section: Discussionmentioning

confidence: 99%

Lingual thyroiditis – an unusual cause for sore throat

silva¹,

Drahaman²,

Duminda³

et al. 2019

Ceylon J Otolaryngology

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The presence of an ectopic thyroid at the base of the tongue (midline) is a rare embryological malformation in the descending process of the thyroid gland and is termed as Lingual thyroid. These aberrant thyroid tissue are commonly found in the base of the tongue and it is subjected to the same diseases as the thyroid gland. A 22-year-old male patient presented to our ward with the chief complaint of sore throat for three days duration with no other symptoms. On fiberoptic nasolarygoscopic examination (FNE) a well-defined, circumscribed swelling with a rich blood supply was detected at the posterior aspect of the tongue. Tc⁹⁹ᵐ scanning showed increased tracer activity was noted in the sublingual region suggestive of a Lingual thyroid with thyroiditis whilst thyroid function tests confirmed Hypothyroidism. The patient was treated conservatively with steroids and thyroxine. Surgery was not offered due to the lack of obstructive features. His symptoms have since improved and is followed up at our clinic.

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Lingual Thyroid—Conservative Management or Surgery? A Case Report

Cited by 22 publications

References 5 publications

Lingual thyroid with hypothyroidism in a child

Lingual thyroid with hypothyroidism in a child

Lingual thyroid presenting as menorrhagia

Lingual thyroiditis – an unusual cause for sore throat

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