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Related Experiment Videos

Lingual thyroid. Diagnosis and treatment.

P Kansal1, N Sakati, A Rifai

  • 1Department of Medicine and Pediatrics, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.

Archives of Internal Medicine
|November 1, 1987
PubMed
Summary

Lingual thyroid is a rare condition diagnosed using imaging like CT scans. All patients require lifelong thyroxine suppression therapy for management.

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Area of Science:

  • Endocrinology
  • Radiology
  • Otolaryngology

Background:

  • Lingual thyroid is a rare congenital condition where thyroid tissue is located in the tongue.
  • It can be asymptomatic or present with symptoms like dysphagia and hemoptysis.
  • Early diagnosis and management are crucial.

Purpose of the Study:

  • To describe the diagnosis and management of four patients with lingual thyroid.
  • To highlight the role of imaging in diagnosis.
  • To emphasize the need for lifelong treatment.

Main Methods:

  • Case series of four patients (3 female, 1 male) aged 7-22 years.
  • Diagnostic imaging included iodine scans (123/131) and computed tomography (CT).
  • One symptomatic patient received radioactive iodine (131I) therapy followed by thyroxine replacement.

Main Results:

  • Diagnosis confirmed by iodine and CT scans.
  • Only the male patient was symptomatic, experiencing mild dysphagia and hemoptysis.
  • All patients required lifelong thyroxine suppression therapy.
  • Unenhanced CT scans showed characteristic iodine content in ectopic thyroid tissue.

Conclusions:

  • Lingual thyroid requires lifelong thyroxine suppression.
  • Iodine-containing ectopic thyroid tissue on CT scans aids diagnosis.
  • Multidisciplinary management is essential for optimal patient outcomes.

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