scholarly journals Lingual Thyroid with Subclinical Hypothyroidism in a Young Female

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Subash Thapa ◽  
Prakash Khanal
Keyword(s):  
Subclinical Hypothyroidism ◽  
Thyroid Tissue ◽  
Needle Aspiration ◽  
Young Female ◽  
Clinical Findings ◽  
Lingual Thyroid ◽  
Body Sensation ◽  
Needle Aspiration Cytology ◽  
Mild Dysphagia ◽  
Base Of The Tongue

Thyroid tissue presenting as a nodule in the base of the tongue due to the embryonic failure to descend to the anterior neck is a rare clinical entity, called lingual thyroid. Clinical presentation varies depending upon the degree of obstruction caused by an enlarged nodule or features related to thyroid function. We report a case of a 27-year-old female who presented with a foreign body sensation in the throat with mild dysphagia for 3 weeks. The patient was diagnosed as lingual thyroid with subclinical hypothyroidism based on clinical findings, imaging, and fine-needle aspiration cytology. Conservative management with hormone suppression can result in size reduction of ectopic thyroid tissue improving symptoms without surgery. Lingual thyroid with mild symptoms and subclinical hypothyroidism can be managed conservatively.

scholarly journals Lingual Thyroid: A rare case report

2012 ◽  
Vol 7 (3) ◽  
pp. 39-42
Author(s):  
S Bhadoria ◽  
A Lavania ◽  
R Saxena
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Thyroid Tissue ◽  
Epithelial Tissue ◽  
Lingual Thyroid ◽  
Medical Sciences ◽  
Body Sensation ◽  
Rare Case Report ◽  
Base Of The Tongue ◽  
Accessory Thyroid

Lingual Thyroid is rare developmental anomaly usually affecting females it is usually located in midline, in base of the tongue and represent the faulty migration of thyroid gland although the exact pathogenesis of this ectopic accessory thyroid tissue is not known it generally originates from the epithelial tissue of non obliterated thyroglossal ductus in this report a case of lingual thyroid in a 28 year old patient with difficulty in swallowing and foreign body sensation complaints for 3 years is presented ultrasound showed absent Thyroid in Neck. DOI: http://dx.doi.org/10.3126/jcmsn.v7i3.6708 Journal of College of Medical Sciences-Nepal, 2011, Vol-7, No-3, 39-42  

Simultaneous occurrence of a thyroglossal duct cyst and a lingual thyroid in the absence of an orthotopic thyroid gland

2011 ◽  
Vol 126 (2) ◽  
pp. 217-220 ◽  
Author(s):  
J Madana ◽  
R Kalaiarasi ◽  
D Yolmo ◽  
S Gopalakrishnan
Keyword(s):  
Thyroid Gland ◽  
English Language ◽  
Thyroid Tissue ◽  
Clinical Findings ◽  
Thyroglossal Duct Cyst ◽  
Simultaneous Occurrence ◽  
Lingual Thyroid ◽  
Duct Cyst ◽  
Thyroglossal Duct ◽  
Thyroglossal Duct Cysts

AbstractObjective:We report an extremely rare case of the simultaneous occurrence of a thyroglossal duct cyst and a lingual thyroid in the absence of an orthotopic thyroid gland, in a seven-year-old girl from South India.Method:Case report and a review of the English language literature on the subject.Results:The patient presented with a mass on the tongue that had been present for three years, and an anterior neck swelling that had been present for two years. Examination revealed a midline, pinkish, firm mass present on the posterior one-third of the tongue. The neck showed a midline cystic swelling in the infrahyoid position. Radiological imaging confirmed the clinical findings, revealing the absence of her thyroid gland in the normal location. Sistrunk's procedure was performed leaving behind a lingual thyroid. At 13-month follow up, the patient was euthyroid with no recurrence.Conclusion:To our knowledge the association of a lingual thyroid and a thyroglossal cyst has only been reported once in the literature. The presence of a lingual thyroid in the absence of a normally located thyroid gland or functioning thyroid tissue along the thyroglossal tract, confirmed by radionuclide and computed tomography imaging, may indicate the failure of the normal descent of the thyroid gland during embryonic development. This probable absence of the descent of the thyroid raises questions regarding the origin of thyroglossal duct cysts.

scholarly journals Acute Pancreatitis with Large Infected Pseudo Pancreatic Cyst in a Post-Partum Female – Case Report

2021 ◽  
Vol 10 (35) ◽  
pp. 3074-3076
Author(s):  
Sameera Dronamraju ◽  
Yash Gupte ◽  
Twinkle Pawar ◽  
Sourya Acharya ◽  
Sunil Kumar
Keyword(s):  
Acute Pancreatitis ◽  
Post Partum ◽  
Needle Aspiration ◽  
Young Female ◽  
Standard Test ◽  
Pancreatic Pseudocysts ◽  
Pancreatic Ascites ◽  
Female Case ◽  
Needle Aspiration Cytology ◽  
Patient Presentation

A frequent cause for patient presentation to the emergency department and the most serious gastrointestinal condition resulting in admission is acute pancreatitis. Pancreatitis is an inflammatory process within the pancreas. Although the disease is mostly mild, the mortality rate of severe forms may be up to 30 percent. Two of the following three criteria are required for diagnosis: epigastric abdominal pain, elevated lipase, and pancreatic inflammation on imaging.1 The occurrence of acute pancreatitis is approximately 1 in 1000 to 5000 births and is commonly seen in the last weeks of gestation or in post-partum period. Cholelithiasis, which accounts for more than 65 percent of cases, is the most common cause of acute pancreatitis in pregnancy.2 Pancreatic ascites results from persistent leakage of pancreatic secretions in the peritoneum from pancreatic duct injury. The extent of pancreatic ascites varies, depending on the site and degree of ductal damage and infection.3 The complications of acute or chronic pancreatitis are pancreatic pseudocysts. Initial diagnosis is mostly done by imaging. Endoscopic ultrasound with fine needle aspiration cytology (FNAC) has become the standard test to help differentiate pseudocyst from other cystic lesions of the pancreas. With supportive treatment, most pseudocysts resolve spontaneously. Poor predictors for the potential of pseudocyst resolution or complications are the size of the pseudocyst and the length of time the cyst has been present, but larger cysts in general are more likely to be symptomatic or cause complications.4 We report a case of young female presenting with jaundice and ascites two days post-partum, who was eventually diagnosed as a case of pancreatic ascites with large pancreatic pseudocyst.

scholarly journals Conservative Management for Lingual Thyroid Ectopic

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Eder Alberto Sigua-Rodriguez ◽  
Douglas Rangel Goulart ◽  
Luciana Asprino ◽  
Afonso Celso de Moraes Manzano
Keyword(s):  
Thyroid Gland ◽  
Upper Airway ◽  
Surgical Approaches ◽  
Lingual Thyroid ◽  
Thyroid Function Tests ◽  
Body Sensation ◽  
Different Types ◽  
Spherical Mass ◽  
Base Of The Tongue

Lingual thyroid gland is a rare clinical entity. The presence of an ectopic thyroid gland located at the base of the tongue may be presented with symptoms like dysphagia, dysphonia, and upper airway obstruction. We are introducing a case of an 8-year-old girl who had lingual thyroid that presented dysphagia and foreign body sensation in the throat. The diagnostic was reached with clinical examination, thyroid scintigraphy withTc99mand ultrasound. A laryngoscopy was performed which confirmed a spherical mass at base of tongue. Investigation should include thyroid function tests. In this case we observed subclinical hypothyroidism. There are different types of surgical approaches for the treatment of this condition; however, the treatment with Levothyroxine Sodium allowed the stabilization of TSH levels and clinical improvement of symptoms in a follow-up of 2 years.

Extracranial cysticercosis of the parotid gland: a case report with a review of the literature

2007 ◽  
Vol 122 (9) ◽  
pp. 1008-1011 ◽  
Author(s):  
G Veena ◽  
G M Shon ◽  
K Usha ◽  
R C Nayar
Keyword(s):  
Case Report ◽  
Parotid Gland ◽  
Relevant Literature ◽  
Needle Aspiration ◽  
Young Female ◽  
Diagnostic Methods ◽  
Review Of The Literature ◽  
Aspiration Cytology ◽  
Needle Aspiration Cytology ◽  
High Index Of Suspicion

AbstractObjective:A case of solitary extracranial cysticercosis of the parotid gland is reported. A discussion concerning the clinical features, imaging modalities, diagnostic methods and management of cysticercosis, along with a review of relevant literature is also presented.Case report:A young female patient presented with features resembling acute parotitis. Solitary cysticercosis of the parotid gland was diagnosed, based on fine needle aspiration cytology and radiological investigations. Medical therapy was effective, consequently surgery was deferred.Conclusion:This is the first report of solitary extracranial cysticercosis of the parotid gland. A high index of suspicion for such parasitic infestations is essential even in non-endemic areas due to the ease of worldwide travel.

scholarly journals Case Report: Two Cases of Abdominal Aggressive Fibromatosis That Mimicked Abdominal Wall Endometriosis and Review of Literature

2021 ◽  
Vol 8 ◽  
Author(s):  
Xin Chen ◽  
Yuan Wang ◽  
Haiyuan Liu ◽  
Honghui Shi ◽  
Qingbo Fan ◽  
...  
Keyword(s):  
Abdominal Wall ◽  
Treatment Strategies ◽  
Aggressive Fibromatosis ◽  
Needle Aspiration ◽  
Clinical Findings ◽  
Case Presentation ◽  
Abdominal Masses ◽  
Operative Evaluation ◽  
Needle Aspiration Cytology ◽  
Periodic Changes

Background: Abdominal aggressive fibromatosis (AF) can be confounded with abdominal wall endomentriosis (AWE) because they share considerable similarity. Because of the different patient prognoses and treatment strategies available, accurate pre-operative diagnosis is important.Case Presentation: We here report two cases of abdominal masses presenting as periodic changes in tumor sizes, which occurred in correlation with the menstrual cycle. The clinical findings were highly suggestive of AWE. However, the final pathological findings revealed AF. The estrogen receptor and progesterone receptor expressions were negative in the two cases. The differences between the two diseases have been discussed in detail.Conclusion: A diagnosis of AWE should be scrutinized closely if the patient does not complain of cyclic pain. Fine-needle aspiration cytology is a suitable tool for pre-operative evaluation.

scholarly journals Lingual thyroid with absent thyroid gland in neck

2021 ◽  
Vol 7 (12) ◽  
pp. 1940
Author(s):  
Rachna Dhingra ◽  
Gurbax Singh ◽  
Kuldeep Kumar ◽  
Vignesh A. K. ◽  
Pavail Singh ◽  
...  
Keyword(s):  
Thyroid Gland ◽  
Correct Diagnosis ◽  
Thyroid Tissue ◽  
Surgical Excision ◽  
Lingual Thyroid ◽  
Body Sensation ◽  
Life Threatening ◽  
Spherical Mass ◽  
Thyroid Profile ◽  
Thyroid Gland Tissue

<p class="abstract">Lingual thyroid is defined as an ectopic thyroid gland tissue located in the midline of the tongue base. Patients with lingual thyroid tissue usually present with symptoms such as dysphagia, choking, haemorrhage, dyspnea and occasionally life threatening airway obstruction. Lingual thyroid is a rare anomaly with an incidence of 1 in 3000 of the thyroid cases seen, with overall prevalence of 1 in 100,000. Here we presented a case with complaint of difficulty in swallowing and foreign body sensation throat. The intraoral examination showed spherical mass with 2 cm of diameter, covered with intact mucosa, located midline at base of tongue. She was diagnosed clinically as lingual thyroid and evaluated further. By proper transdisciplinary approach correct diagnosis can be made and patient can be managed. In present case, thyroid profile, USG neck and thyroid scintigraphy helped in diagnosis. Patient was managed medically with tablet levothyroxine which relieved her symptoms. Surgical management was not considered as patient improved with levothyroxine and surgical excision would have made patient further hypothyroid as there was no thyroid gland in neck.</p>

scholarly journals Peripheral Lymphadenopathy in Children, Comparison of Fine Needle Aspiration Cytology with Open Biopsy

2016 ◽  
Vol 11 (4) ◽  
Author(s):  
Mukhtar Hussain ◽  
Akram Shad Chishti ◽  
Rubina Mukhtar ◽  
Hanif Khan ◽  
Hussain Siddiqui ◽  
...  
Keyword(s):  
Fine Needle Aspiration ◽  
Fine Needle Aspiration Cytology ◽  
Needle Aspiration ◽  
Clinical Findings ◽  
Paediatric Surgery ◽  
Open Biopsy ◽  
Aspiration Cytology ◽  
Fine Needle ◽  
Needle Aspiration Cytology ◽  
Reactive Hyperplasia

Objective: To compare the results of Fine Needle Aspiration Cytology (FNAC) with open biopsy in cases of Peripheral Lymphadenopathy. Design: A comparative study. Place and duration of study: Department of Paediatric Surgery & Department of Pathology, Nishtar Medical College & Hospital, Multan from January 2004 to September 2004. Subjects and methods: Patients presenting with Peripheral Lymphadenopathy in Paediatric Surgery out patient department were included in study. Relevant history and clinical findings were entered in performa and patients were submitted to investigations like FNAC and open lymphnode biopsy, after getting consent, on OPD basis. Results: Results of both FNAC and histopathology in 54 patients were available for comparison at the end of study. FNAC showed tuberculosis in 36 (66.67%), lymphoproliferative process in 16 (29.63%) and poor yield in 2 (3.71%) cases. Whereas open lymphnode biopsy on histopathology confirmed tuberculosis in 42 (77.78%), Hodgkin`s lymphoma in 4.(7.42%), Non Hodgkin`s in 6 (11.13%) and reactive hyperplasia in 2 (3.71%) cases. Sensitivity of FNAC in tuberculosis was 85.7% with a specificity of 100% in cases of tuberculosis while it was 71.5% in cases of lymphomatous process with an overall sensitivity of 78.5% in peripheral lymphadenopathy. Conclusion: In our setup lymphnode biopsy should be performed in all suspected cases to avoid long term morbidity and mortality especially in clinically malignant illnesses.

scholarly journals Subacute granulomatous (De Quervain's) thyroiditis: Fine-needle aspiration cytology and ultrasonographic characteristics of 21 cases

CytoJournal ◽  
2015 ◽  
Vol 12 ◽  
pp. 9 ◽  
Author(s):  
Çigdem Vural ◽  
Nadir Paksoy ◽  
Nazlı D Gök ◽  
Kadri Yazal
Keyword(s):  
Fine Needle Aspiration ◽  
Inflammatory Cells ◽  
Giant Cells ◽  
Needle Aspiration ◽  
Clinical Findings ◽  
Follicular Epithelium ◽  
Fine Needle ◽  
Cytological Characteristics ◽  
Needle Aspiration Cytology ◽  
Epithelium Cells

Background: Subacute granulomatous thyroiditis (SGT) is an inflammatory disease that presents with different clinical and cytological characteristics. Although the diagnosis is generally made clinically, imaging methods and fine-needle aspiration (FNA) may provide assistance, particularly in atypical cases. The objective of this study is to reveal the ultrasonographic (USG) and cytological characteristics of SGT. Materials and Methods: The clinical, USG and cytological findings of 21 cases diagnosed with SGT were reviewed. Results: Ultrasonographic data was available in 20 cases. A hypoechoic thyroid nodule with irregular margins was detected in 12 of the 20 total cases. Of these, 9 cases complained about pain in the thyroid lodge and generally had unilateral lesions, heterogeneous and hypoechoic areas with indistinct margins, rather than nodular lesions, which were seen in 7 cases. Cytologically, the multinuclear giant cells (MNGCs) found in all cases were accompanied by a dirty background containing varying numbers of granulomatous structures, including isolated epithelioid histiocytes, proliferated/regenerated follicle epithelium cells and inflammatory cells and colloid. Conclusion: Though hypoechoic and heterogeneous areas with irregular margins are strongly associated with thyroiditis, SGT may also appear as painful or painless hypoechoic, solid nodules and generate challenges in differential diagnosis. Although the most remarkable characteristic observed in FNA cytology was the presence of multiple MNGCs with cytoplasm, a dirty background accompanied by mild-moderate cellularity, degenerated-proliferated follicular epithelium cells, rare epithelioid granulomas and mixed type inflammatory cells are characteristic for SGT. The assessment of these radiological and cytological findings in conjunction with clinical findings will assist in the achievement of an accurate diagnosis.

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