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[Lingual thyroid]
L D'Archivio1, P Parere, G D'Ascanio
1Ospedale Civile Santo Spirito, Regione Abruzzo, ULSS N. 11, Pescara.
Minerva Stomatologica
|April 1, 1992
Summary
Lingual thyroid, a rare oral surgery condition, requires thorough pre-excision investigation. This case report reviews current literature and treatment methods for this rare thyroid tissue anomaly.
Area of Science:
- Oral Surgery
- Endocrinology
- Pathology
Background:
- Lingual thyroid is a rare congenital anomaly where thyroid tissue is found at the base of the tongue.
- It can present with various symptoms, including dysphagia, dyspnea, and bleeding, or be asymptomatic.
- Diagnosis often relies on imaging and biopsy, differentiating it from other masses in the floor of the mouth.
Observation:
- A case of lingual thyroid is presented, highlighting its rarity in oral surgical practice.
- The patient's presentation and diagnostic process are detailed.
- Clinical examination and imaging were crucial for accurate diagnosis.
Findings:
- The literature review indicates varied treatment approaches for lingual thyroid, ranging from observation to surgical excision.
- Conservative management is often preferred for asymptomatic or minimally symptomatic cases.
- Surgical intervention is typically reserved for symptomatic or potentially malignant lesions.
Implications:
- Emphasizes the critical need for comprehensive pre-operative investigations to confirm diagnosis and rule out malignancy before surgical excision.
- Highlights the importance of a multidisciplinary approach involving oral surgeons, endocrinologists, and pathologists.
- Contributes to the understanding of lingual thyroid management strategies in clinical practice.