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Related Experiment Videos

Lingual thyroid--a lesson to learn.

A R M Ramzisham1, S Somasundaram, Z M Nasir

  • 1Department of Surgery, Hospital University Kebangsaan Malaysia, Jalan Yaacob Latiff, Cheras, 56000 Kuala Lumpur.

The Medical Journal of Malaysia
|March 23, 2005
PubMed
Summary

A rare case of lingual thyroid, initially misdiagnosed as a tongue hemangioma, was successfully surgically removed. This unusual thyroid enlargement presented as a posterior tongue mass, highlighting diagnostic challenges.

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Area of Science:

  • Otolaryngology
  • Endocrinology
  • Surgical Pathology

Background:

  • Thyroid tissue is normally located in the neck.
  • Ectopic thyroid tissue can occur along the thyroglossal duct pathway.
  • Lingual thyroid is a rare congenital anomaly, often asymptomatic.

Observation:

  • A middle-aged woman presented with a posterior tongue mass.
  • Initial diagnosis suggested a tongue hemangioma.
  • Surgical excision was performed using a mandibular osteotomy and tongue splitting approach.

Findings:

  • Histopathology confirmed the mass to be a lingual thyroid, measuring 5x4 cm.
  • The tumor was initially misdiagnosed, underscoring challenges in identifying ectopic thyroid tissue.
  • This represents an unusual presentation of thyroid tissue in the tongue.

Implications:

  • This case highlights the importance of thorough histopathological examination for accurate diagnosis of tongue masses.
  • Understanding rare presentations of ectopic thyroid tissue is crucial for surgical planning and patient management.
  • Further research into the embryogenesis and clinical presentation of lingual thyroid may improve diagnostic accuracy.

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