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[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
Revista De Gastroenterologia De Mexico
|March 12, 2005
Summary
A rare developmental anomaly, lingual thyroid, can cause severe symptoms. Transoral thyroidectomy followed by lifelong hormone therapy is an effective treatment for symptomatic lingual thyroid hypertrophy and hypothyroidism.
Area of Science:
- Endocrinology
- Surgical Pathology
Background:
- Lingual thyroid is a rare congenital anomaly resulting from abnormal embryogenesis during thyroid gland descent.
- This condition arises from aberrant development, where the thyroid gland fails to reach its normal anatomical position.
Observation:
- A 30-year-old female presented with a 12-month history of dysphagia and a foreign body sensation in the pharynx.
- The patient also exhibited symptoms consistent with hypothyroidism.
Findings:
- Diagnosis of lingual thyroid was confirmed.
- Transoral thyroidectomy was successfully performed, with microscopic examination revealing normal thyroid tissue.
- The patient experienced an uncomplicated recovery and was discharged two days post-surgery.
Implications:
- Transoral lingual thyroidectomy is a viable surgical option for symptomatic lingual thyroid hypertrophy.
- Lifelong hormonal therapy is crucial for managing associated hypothyroidism post-surgery.
- This approach offers an effective solution for patients with severe symptoms related to lingual thyroid.