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Lingual thyroid

P S Douglas1, A W Baker

  • 1Department of Oral and Maxillofacial Surgery, Canniesburn Hospital, Bearsden, Glasgow.

The British Journal of Oral & Maxillofacial Surgery
|April 1, 1994
PubMed
Summary
This summary is machine-generated.

This case study describes a rare instance of lingual thyroid, where the entire tongue contained thyroid tissue, confirmed by radioisotope scans. The study reviews incidence, diagnosis, and treatment options for this condition.

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Area of Science:

  • Endocrinology
  • Head and Neck Surgery
  • Radiology

Background:

  • Lingual thyroid is a rare congenital anomaly resulting from aberrant thyroid tissue migration during embryogenesis.
  • It represents the most common location for ectopic thyroid tissue, often presenting as a midline neck mass.
  • Diagnosis typically involves imaging techniques, with radioisotope scans being crucial for confirming thyroid tissue presence.

Observation:

  • A unique case of lingual thyroid is presented where the entire tongue appeared to be composed of thyroid tissue.
  • Radioisotope scans provided graphical evidence of the widespread thyroid tissue within the lingual structure.
  • This presentation is highly unusual, differing from typical localized ectopic thyroid tissue.

Findings:

  • The extensive thyroid tissue within the tongue was clearly visualized through radioisotope imaging.

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  • Review of existing literature highlights the variable incidence and diagnostic challenges associated with lingual thyroid.
  • The case underscores the importance of advanced imaging in diagnosing rare ectopic thyroid presentations.

    • Implications:

    • This case expands the understanding of the spectrum of lingual thyroid presentations.
    • It emphasizes the need for thorough diagnostic evaluation, including advanced imaging, for suspected ectopic thyroid tissue.
    • Further research into the embryological basis and optimal management strategies for extensive lingual thyroid is warranted.