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The thyroid gland is a small, butterfly-shaped gland located in the neck and covers the anterior surface of the trachea. The gland has two lateral lobes connected by a thin tissue mass called the isthmus. Internally, each lobe comprises many small spherical structures known as thyroid follicles, surrounded by a network of blood vessels.
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Generation of a Mouse Spontaneous Autoimmune Thyroiditis Model
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Hashimoto thyroiditis in a lingual thyroid: An interesting case.

Prajwal Dahal1, Sabina Parajuli2

  • 1Department of Radiology and Imaging Grande International Hospital Kathmandu Nepal.

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Enlarging throat masses may indicate lingual thyroid. Prompt diagnosis via imaging and thyroid function tests, followed by levothyroxine treatment, can effectively manage this condition.

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Area of Science:

  • Endocrinology
  • Head and Neck Surgery
  • Diagnostic Imaging

Background:

  • Ectopic thyroid tissue, particularly lingual thyroid, can present as an oropharyngeal mass.
  • Hashimoto thyroiditis can affect lingual thyroid, leading to gland enlargement and symptoms.

Observation:

  • A case of Hashimoto disease in an adolescent female presenting with an oropharyngeal mass is described.
  • Enlarging lingual thyroid necessitates consideration of ectopic thyroid tissue.

Findings:

  • Imaging modalities like ultrasonography and Tc-99m scintigraphy are sufficient for diagnosing lingual thyroid.
  • Thyroid function tests are crucial when ectopic thyroid is detected.

Implications:

  • Early diagnosis and appropriate management, including levothyroxine therapy, can reduce lingual thyroid size and alleviate symptoms.
  • This case highlights the importance of considering lingual thyroid in the differential diagnosis of neck masses.