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Updated: Aug 7, 2026

An Ex vivo Culture System to Study Thyroid Development
Published on: June 6, 2014
Insights
A baby girl had thyroid screening showing high thyroid-stimulating hormone (TSH) and low T4. Imaging revealed an undescended thyroid gland at the base of her tongue, not in the neck.
Area of Science:
- Pediatric Endocrinology
- Nuclear Medicine
- Congenital Disorders
Background:
- Thyroid hormone levels are crucial for infant development.
- Congenital hypothyroidism requires timely diagnosis and management.
- Thyroid imaging aids in identifying ectopic or absent thyroid tissue.
Observation:
- An infant presented with screening results indicating hypothyroidism (low T4, high TSH).
- Neck imaging did not locate thyroid tissue in the typical anatomical position.
- A radioactive iodine uptake scan showed activity at the base of the tongue.
Findings:
- The diagnostic findings are consistent with a diagnosis of lingual thyroid.
- A lingual thyroid represents an undescended thyroid gland.
- This ectopic thyroid tissue can cause hypothyroidism.
Implications:
- Early diagnosis of lingual thyroid is essential to prevent developmental issues.
- Management may involve thyroid hormone replacement therapy.
- Understanding thyroid development anomalies is critical in pediatric care.
Abstract:
An infant girl was referred for thyroid screening. The T4 value was 5.0 micrograms/dl (normal 5.0-13.0 micrograms/dl), and the thyroid-stimulating hormone-radioimmunoassay value was greater than 60.0 microIU/ml (normal 0-10.0 microIU/ml). Imaging failed to demonstrate thyroid tissue in the normal anatomic position in the neck. A focal collection of activity was seen, however, on a scan corresponding to the position of the base of the tongue. The finding is consistent with the diagnosis of a lingual (undescended) thyroid.
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