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Substernal Thyroid Biopsy Using Endobronchial Ultrasound-guided Transbronchial Needle Aspiration

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Intratracheal ectopic thyroid: case report and review.

Bariş Karakullukçu¹, M Güven Güvenç, Harun Cansiz

¹Department of Otolaryngology-Head and Neck Surgery, Istanbul University, Cerrahpaşa Faculty of Medicine, Istanbul, Turkey.

Ear, Nose, & Throat Journal

|August 19, 2007

Summary

Intratracheal ectopic thyroid tissue, a rare cause of airway obstruction, can mimic asthma symptoms. Surgical excision led to successful treatment after misdiagnosis in a 40-year-old man.

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Area of Science:

Pulmonology
Endocrinology
Surgical Pathology

Background:

Ectopic thyroid tissue in the trachea is an uncommon congenital anomaly.
Symptoms like airway obstruction can be mistaken for common respiratory conditions such as bronchial asthma.
Early and accurate diagnosis is crucial for effective management.

Observation:

A 40-year-old male patient presented with symptoms suggestive of bronchial asthma.
Further investigation revealed subglottic ectopic thyroid tissue and multinodular goiter.
The patient had a history of misdiagnosis as bronchial asthma.

Findings:

Intratracheal ectopic thyroid tissue can lead to significant airway compromise.
Multinodular goiter can coexist with tracheal thyroid tissue.
Surgical excision via an external approach is a viable treatment option.

Implications:

Highlights the importance of considering rare diagnoses in cases of persistent respiratory symptoms.
Emphasizes the need for thorough diagnostic workups to differentiate ectopic thyroid tissue from asthma.
Provides insights into the clinical presentation and surgical management of intratracheal thyroid tissue.