Follicular carcinoma in a lingual thyroid

This paper present the clinical story of a forty-year-old lady who presented with referred left-sided otalgia from a follicular carcinoma occurring in a lingual thyroid. This coincided with the presence of a normal quantity of thyroid tissue in the neck. The lingual mass was excised and the diagnosis (hitherto unsuspected) was made histologically. The patient's otalgia disappeared and her further management was conducted in another Unit.