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Related Experiment Videos

Multiple thyroid ectopics in a single patient: a rare presentation.

Tahir Manzoor1, Syed Nusrat Raza, Asad Qayyum

  • 1Department of ENT, Combined Military Hospital, Rawalpindi.

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|September 6, 2007
PubMed
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This case study presents a rare instance of multiple ectopic thyroid tissues, including lingual thyroid and a neck mass. Treatment with thyroxin successfully resolved symptoms and normalized thyroid function.

Area of Science:

  • Endocrinology
  • Head and Neck Surgery

Background:

  • Ectopic thyroid tissue is a rare congenital anomaly.
  • Multiple sites of thyroid ectopia are exceptionally uncommon.

Purpose of the Study:

  • To report a rare case of coexisting lingual and cervical ectopic thyroid tissue.
  • To describe the diagnostic and therapeutic approach for this condition.

Main Methods:

  • Clinical presentation of a 16-year-old female with neck swelling and dysphagia.
  • Diagnostic workup including oral examination, physical neck examination, I131 thyroid scan, biopsy, and fine-needle aspiration (FNA).
  • Hormonal assays (TSH, T3, T4) and treatment with thyroxin.

Main Results:

  • Confirmed ectopic thyroid tissue at the tongue base (lingual thyroid) and on the right side of the neck.

Related Experiment Videos

  • Thyroid scan showed radio-iodine uptake in both ectopic sites.
  • Hormonal profile indicated hypothyroidism (high TSH, low T3/T4).
  • Three months of thyroxin therapy led to regression of ectopic thyroid tissue and symptom improvement.

    • Conclusions:

    • Thyroid hormone replacement therapy can effectively manage ectopic thyroid tissue and associated hypothyroidism.
    • Early diagnosis and treatment are crucial for symptom resolution and preventing recurrence.