Lingual Thyroid Ectopia: Diagnostic SPECT/CT Imaging and Radioactive Iodine Treatment

Gandhi, Arpit; Wong, Ka Kit; Gross, Milton D.; Avram, Anca M.

doi:10.1089/thy.2015.0396

Cited by 28 publications

(18 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Para el diagnóstico de tejido tiroideo ectópico se ha utilizado la gammagrafía y la técnica de SPECT/ CT con Tc 99, I-131 o I-123 las cuales son pruebas sensibles y específicas para valorar y localizar tejido tiroideo funcionante 43,44 . Se recomienda la aplicación de estas técnicas en pacientes con masa cervical y sospecha de tiroides ectópica.…”

Section: Diagnosticounclassified

Tiroides ectópica dual hiperfuncionante: Abordaje quirúrgico dual

et al. 2018

Rev. Otorrinolaringol. Cir. Cabeza Cuello

View full text Add to dashboard Cite

Paciente de 36 años en tratamiento de leucemia mieloide crónica con nilotinib a quien se le diagnostica hipertiroidismo por síntomas clínicos y exámenes de laboratorio. Se inicia tratamiento con metimazol más propanolol. Los estudios imagenológicos muestran un tejido ectópico tiroideo cervical infrahiodeo lateralizado a la izquierda y un nódulo en la base de la lengua. Presentó toxicidad hepática atribuida al tratamiento por lo que se decide extirpación quirúrgica de tiroides ectópica dual. Por la edad de la paciente y preocupación acerca del resultado estético, se realiza una tiroidectomía videoasistida por vía axilar de la tiroides ectópica cervical y una resección transoral de la tiroides ectópica lingual. La patología confirma tejido tiroideo en ambas localizaciones sin signos de malignidad. La paciente se recuperó sin complicaciones y sin cicatriz cervical.

show abstract

Section: Diagnosticounclassified

Tiroides ectópica dual hiperfuncionante: Abordaje quirúrgico dual

et al. 2018

Rev. Otorrinolaringol. Cir. Cabeza Cuello

View full text Add to dashboard Cite

show abstract

“…Recently the usefulness of hybrid single-photon emission computed tomography/computed tomography imaging using either 123-I or 99-Tc was reported [50]. Fiaschetti et al described an ectopic thyroid visualised incidentally during MRI of the neck, performed due to pain in the neck [51].…”

Section: Szkolenie Podyplomowementioning

confidence: 99%

“…Two more cases of lingual thyroid transpositioning from extraoral and transoral approach were described by Wu et al The longest follow-up period reached 16 years, and the transplant survived and allowed the patient to maintain euthyroidism without the need for L-thyroxine supplementation [56]. A successful therapy with radioiodine I-131 was described in several cases of ectopy in patients presenting obstructive symptoms, which might be an alternative for surgery [50]. Temporary L-thyroxine withdrawal and low iodine diet should be applied a few months beforehand to increase the efficacy of such therapy.…”

Section: Szkolenie Podyplomowementioning

confidence: 99%

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

“…The Fnac, especially in thyroglossal duct cysts, leads to a diagnosis in less than 50% of the cases (needle aspiration hypocellularity, degenerative parietal phenomena, dilution with cystic liquid and blood) [8] . Scintigraphy is still the main exam when studying thyroid dysgenesis as it can reveal direct information regarding the location and functionality of the tissue, (limitation by incidence of false negatives due to the lack of tracer detection from the ectopic tissue, which is reduced by the presence of a normally functioning gland) [9] .…”

Section: Introductionmentioning

confidence: 99%