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Published on: August 2, 2024
[Dysphagia secondary to lingual thyroid]
Kuauhyama Luna-Ortiz1, Mario A Rascón-Ortiz, Mario Tamez-Velarde
1Departamento de Cirugía de Cabeza y Cuello en el Instituto Nacional de Cancerología. Universidad Aut6noma Metropolitana Xochimilco. kuauhyama@starmedia.com
Background:
Lingual thyroid is a rare developmental anomaly originating from aberrant embryogenesis during descent of the gland from its site of origin, the foramen caecum, to its eutopic location.
Objective:
We present the case of a 30-year-old female with a history of dysphagia and pharyngeal foreign body sensation over the past 12 months, associated with hypothyroidism.
Methods:
Diagnostic and therapeutic approaches are discussed.
Results:
Diagnosis of lingual thyroid was made and transoral thyroidectomy was performed as procedure-of-choice. Microscopic analysis revealed normal thyroid tissue with abundant colloid. The patient had an uneventful recovery and was discharged 2 days after surgery. Gamma-gram with Tc99m was scheduled for postoperative follow-up.
Conclusions:
Transoral lingual thyroidectomy followed by life-long hormonal therapy is the appropiate approach for patients with severe symptoms due to lingual thyroid hypertrophy associated with hypothyroidism.
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