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Updated: May 4, 2026

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Lingual thyroid-conservative management or surgery? A case report.

S Sujith Kumar1, D Muthiah Selva Kumar1, R Thirunavukuarasu1

  • 1Department of General Surgery, Vinayaga Missions Medical College & Hospital, Karaikal, 609602 Pondicherry UT India.

The Indian Journal of Surgery
|January 16, 2014
PubMed
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A rare lingual thyroid, an ectopic thyroid located on the tongue, can cause swallowing difficulties. This case study shows successful treatment with levothyroxine, reducing the thyroid mass and improving symptoms.

Area of Science:

  • Endocrinology
  • Otolaryngology
  • Case Study

Background:

  • Lingual thyroid is a rare congenital anomaly, representing 90% of ectopic thyroid presentations.
  • Ectopic thyroid tissue can lead to various clinical manifestations, including airway obstruction and dysphagia.

Purpose of the Study:

  • To report a case of lingual thyroid presenting with dysphagia.
  • To highlight the diagnostic approach and successful management of lingual thyroid with hypothyroidism.

Main Methods:

  • Clinical presentation of a 32-year-old female with a tongue mass and dysphagia.
  • Diagnostic workup included clinical examination, biochemical thyroid function tests, and radioisotope scanning.
  • Treatment involved levothyroxine hormone replacement therapy.
Keywords:
LevothyroxineLingual thyroid

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Main Results:

  • Diagnosis of lingual thyroid with coexisting hypothyroidism was confirmed.
  • Levothyroxine treatment led to a significant reduction in the size of the lingual thyroid.
  • The patient experienced symptomatic improvement, particularly in swallowing function.

Conclusions:

  • Lingual thyroid, though rare, should be considered in patients with unexplained dysphagia and neck masses.
  • Levothyroxine therapy is an effective treatment for symptomatic lingual thyroid and associated hypothyroidism.
  • Early diagnosis and management can significantly improve patient outcomes and quality of life.