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[Ectopic lingual thyroid. Apropos of 3 cases]

N Maurice1, M Makeieff, J Delol

  • 1Service d'Oto-laryngologie et de Chirurgie cervico-faciale, CHU Montpellier.

Annales D'Oto-Laryngologie Et De Chirurgie Cervico Faciale : Bulletin De La Societe D'Oto-Laryngologie Des Hopitaux De Paris
|January 1, 1995
PubMed
Summary

Lingual thyroid, a rare condition causing airway obstruction and dysphagia, presents varied symptoms. Treatment depends on clinical signs, with surgery for obstruction or suspected malignancy, and hormone therapy for stabilization.

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Area of Science:

  • Endocrinology
  • Otolaryngology
  • Pathology

Background:

  • Lingual thyroid is a rare congenital anomaly where thyroid tissue is located on the tongue.
  • It can lead to significant upper airway obstruction, dysphagia, and hypothyroidism.
  • Ectopic thyroid tissue prevalence and clinical manifestations require further investigation.

Observation:

  • This report details three cases of lingual thyroid in women.
  • One case involved a pregnant woman with lingual goiter, hemorrhages, and hypothyroidism.
  • The other two cases presented with dysphagia and were incidentally discovered during physical examination.

Findings:

  • Diagnosis of lingual thyroid can be challenging due to its rarity and varied presentation.
  • Clinical symptoms range from severe airway compromise to asymptomatic findings.

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  • Management strategies are tailored to individual patient presentation and risk factors.
  • Implications:

    • Early diagnosis and appropriate management of lingual thyroid are crucial for preventing severe complications.
    • Surgical intervention is indicated for symptomatic obstruction or suspected malignancy.
    • Hormone replacement therapy can stabilize or regress ectopic thyroid tissue in asymptomatic cases.