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Lingual thyroid with severe hypothyroidism: A case report.

Hsuan Huang1, Yi-Hsin Lin2

  • 1Division of Pediatric Surgery, Department of Surgery, Mackay Memorial Hospital, Taipei, Taiwan (R.O.C.).

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|October 29, 2021
PubMed
Summary
This summary is machine-generated.

Lingual thyroid, a rare ectopic thyroid tissue at the tongue base, can cause hypothyroidism. Conservative thyroid hormone replacement effectively treated a patient with severe hypothyroidism and lingual thyroid.

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Area of Science:

  • Endocrinology
  • Surgical Pathology
  • Medical Diagnostics

Background:

  • Lingual thyroid, ectopic thyroid tissue at the tongue base, is a rare clinical finding.
  • Presentation varies with gland size and thyroid dysfunction, impacting patient health.
  • Diagnosis requires comprehensive evaluation including imaging and cytology.

Observation:

  • A 29-year-old female presented with fatigue and depression.
  • Diagnostic workup revealed lingual thyroid associated with severe hypothyroidism.

Findings:

  • Conservative treatment with thyroid hormone replacement led to significant symptom improvement.
  • This approach is suitable for lingual thyroid with hypothyroidism and no regional symptoms.

Implications:

  • Early and accurate diagnosis of lingual thyroid is crucial for effective management.
  • Conservative treatment is viable for select cases, emphasizing regular follow-up.
  • Monitoring is essential to mitigate risks, including potential malignant transformation.