scholarly journals Lingual thyroid with hypothyroidism in a child

2019 ◽  
Vol 6 (4) ◽  
pp. 1747
Author(s):  
Ramya Ramanathan ◽  
Jennifer Priscilla Veerapandian ◽  
Sundari S.
Keyword(s):  
Congenital Anomaly ◽  
Thyroid Gland ◽  
Thyroid Tissue ◽  
Female Child ◽  
Lingual Thyroid ◽  
Normal Children ◽  
Rare Congenital Anomaly ◽  
Clinical Presentations ◽  
A Site ◽  
In Pregnancy

Ectopic thyroid is an uncommon embryological abnormality characterized by the presence of thyroid tissue in a site other than its usual pretracheal location. Of all ectopic thyroids 90% are found to be lingual. Lingual thyroid is estimated to occur in 0.2 per cent of normal children, being more common in females. It is a rare congenital anomaly appearing with prevalence of 1:100000. This embryological anomaly originates from failure of thyroid gland to descend from foramen caecum to its normal pre laryngeal site. Interestingly, only 0.01% of these patients present with any overt symptoms. If symptomatic: dyspnoea dysphagia, dysphonia and stomatolalia are some common clinical features associated with it. In females these symptoms manifest during stress as in pregnancy, puberty and menstruation. Some rare clinical presentations reported in literature are hyperthyroidism, malignancy and hemoptysis. Hereby authors are reporting a 7-year-old female child who presented to our department with dysphagia who on evaluation diagnosed to have lingual thyroid with hypothyroidism.

Fourth branchial arch fistula

1996 ◽  
Vol 110 (4) ◽  
pp. 391-393 ◽  
Author(s):  
I. J. M. Johnson ◽  
J. V. Soames ◽  
J. P. Birchall
Keyword(s):  
Congenital Anomaly ◽  
Thyroid Gland ◽  
Histopathological Examination ◽  
Thyroid Tissue ◽  
Branchial Arch ◽  
Rare Congenital Anomaly ◽  
Pyriform Fossa

AbstractA case is presented of a rare congenital anomaly of the fourth branchial arch, which presented as an abscess in the anterior triangle, related to a fistula communicating with the pyriform fossa. Histopathological examination showed the fistula to be associated with thyroid tissue supporting the hypothesis that the ventral wing of the fourth pouch contributes to the thyroid gland.

scholarly journals Submandibular ectopic thyroid gland: an uncommon presentation

2021 ◽  
Vol 37 (1) ◽  
Author(s):  
Inès Riahi ◽  
Rim Fradi ◽  
Ibtissem Ben Nacef ◽  
Ahlem Blel
Keyword(s):  
Thyroid Gland ◽  
Thyroid Tissue ◽  
Ectopic Thyroid ◽  
Lingual Thyroid ◽  
Submandibular Region ◽  
Case Presentation ◽  
Thyroglossal Duct ◽  
Common Presentation ◽  
Ectopic Thyroid Tissue ◽  
Uncommon Presentation

Abstract Background Ectopic thyroid is a developmental anomaly of the thyroid gland of embryological origin. Instead of having a pretracheal situation, thyroid tissue is elsewhere, most commonly in the median cervical line along the course of the thyroglossal duct. Lingual thyroid is the most common presentation. Ectopic thyroid tissue in the submandibular region has been rarely reported. Case presentation We report herein a case of a 65-year-old man admitted to our department with a complaint of a painless swelling in the left submandibular region. Conclusions Thyroid gland ectopia should be considered among the differential diagnoses of submandibular swelling. Ectopic thyroid tissue can present with the same pathology affecting the normal thyroid gland such as malignancy and hyperthyroidism.

scholarly journals Agenesis of Isthmus of the Thyroid Gland in a Patient with Graves-Basedow Disease and a Solitary Nodule

2013 ◽  
Vol 2013 ◽  
pp. 1-2
Author(s):  
Omer Faruk Ozkan ◽  
Mehmet Asık ◽  
Huseyin Toman ◽  
Faruk Ozkul ◽  
Oztekin Cıkman ◽  
...  
Keyword(s):  
Congenital Anomaly ◽  
Thyroid Gland ◽  
Surgical Procedures ◽  
Congenital Anomalies ◽  
Clinical Symptoms ◽  
Endocrine Gland ◽  
Solitary Nodule ◽  
Rare Congenital Anomaly ◽  
Wide Range

The thyroid is a vascular endocrine gland with two lateral lobes connected by a narrow, median isthmus. Although a wide range of congenital anomalies of the thyroid gland has been reported in the literature, agenesis of the thyroid isthmus is a very rare congenital anomaly. Thyroid isthmus agenesis does not manifest clinical symptoms, and it can be confused with other thyroid pathologies. We describe a patient with no isthmus of the thyroid, associated with Graves-Basedow disease. Thyroid isthmus agenesis should be kept in mind in order for surgical procedures involving thyroid pathologies to be carried out safely.

Transposition of a lingual thyroid to the submandibular space using a modified technique

2012 ◽  
Vol 126 (12) ◽  
pp. 1287-1291 ◽  
Author(s):  
Tingwei Bao ◽  
Huiming Wang ◽  
Dong Wei ◽  
Di Yu
Keyword(s):  
Thyroid Gland ◽  
Thyroid Function ◽  
Thyroid Tissue ◽  
Treatment Method ◽  
Vascular Supply ◽  
Lingual Thyroid ◽  
Modified Technique ◽  
Submandibular Region ◽  
Submandibular Space

AbstractObjective:We report a modified surgical technique for transplanting an ectopic, lingual thyroid to the submandibular space, in order to maintain thyroid function while relieving obstructive symptoms.Case report:A 52-year-old woman complained of progressive dysphagia and dyspnoea. Ectopic lingual thyroid tissue was diagnosed. The ectopic thyroid gland was transplanted into the submandibular region via a lateral pharyngeal approach. A random muscle pedicle was prepared to provide a vascular supply to the transposed gland.Results:Twelve-month follow up confirmed the survival of the transplanted thyroid gland, with preserved thyroid function.Conclusion:Surgical transplantation of a lingual thyroid to the submandibular region offers an alternative treatment method for this anomaly, which avoids the need for resection and lifelong thyroxine replacement.

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.

Imaging of the Lingual Thyroid: A Case Report and Management

2016 ◽  
Vol 8 (3) ◽  
pp. 122-124
Author(s):  
Ravinder Kumar ◽  
Abhishek Bhargava ◽  
Gagan Jaiswal
Keyword(s):  
Case Report ◽  
Thyroid Gland ◽  
Thyroid Tissue ◽  
Upper Airway ◽  
Lingual Thyroid ◽  
Developmental Abnormality ◽  
Endoscopic Removal ◽  
Current Case ◽  
Male Ratio ◽  
Imaging Characteristics

ABSTRACT Lingual thyroid is a rare developmental abnormality characterized by the failure of the thyroid gland, or remnants, to descend from anywhere along its embryologic path of origin at the foramen cecum to its normal eutopic pretracheal position. Awareness of the anatomic course of the embryologic thyroid primordium, typical and atypical locations of ectopic thyroid tissue may aid in diagnosis. The reported incidence of lingual thyroid is 1 in 100,000, and it is more common in females, with a female to male ratio ranging between 3:1 and 7:1. Lingual thyroid located at the base of tongue often present with hypothyroidism, usually asymptomatic but may cause dysphonia, dysphagia, upper airway obstruction, and hemorrhage. In the current case report, we present the imaging characteristics of lingual thyroid occurring in a 12-year-old female patient. Partial endoscopic removal of lingual thyroid was performed, followed by substitutive exogenous thyroid hormone therapy. The purpose of this study is to discuss the radiological characteristics and therapeutic issues in the management of lingual thyroid. How to cite this article Kumar R, Bhargava A, Jaiswal G. Imaging of the Lingual Thyroid: A Case Report and Management. Int J Otorhinolaryngol Clin 2016;8(3):122-124.

Case of thyroid hemiagenesis and ectopic lingual thyroid presenting as goitre

2008 ◽  
Vol 122 (8) ◽  
Author(s):  
Y S Yang ◽  
K H Hong
Keyword(s):  
World Literature ◽  
Thyroid Tissue ◽  
Ectopic Thyroid ◽  
Lingual Thyroid ◽  
Thyroid Hemiagenesis ◽  
The World ◽  
Right Lobe ◽  
The Right ◽  
A Site ◽  
Common Manifestation

AbstractObjective:We report an extremely rare case of thyroid hemiagenesis with ectopic lingual thyroid.Method:Case report and review of the world literature concerning thyroid hemiagenesis with ectopic lingual thyroid and heredity.Results:Ectopic thyroid is an uncommon embryological aberration characterised by the presence of thyroid tissue in a site other than its usual, pretracheal location. The lingual thyroid is the most common manifestation of benign ectopic thyroid tissue, but is still a rare clinical entity. Thyroid hemiagenesis is also a very rare abnormality, in which one thyroid lobe fails to develop. We report a case of left thyroid hemiagenesis and goitre in the right lobe in a 26-year-old woman with an ectopic lingual thyroid.Conclusion:To our knowledge, this is the first report in the world literature of thyroid hemiagenesis with ectopic lingual thyroid.

scholarly journals Klippel-Feil Syndrome: A Review of Literature and Case Report

2018 ◽  
Vol 1 (1) ◽  
pp. 102-107
Author(s):  
H Mohammad ◽  
I T Annongu ◽  
D D Mue ◽  
D M Chia ◽  
R O Abah ◽  
...  
Keyword(s):  
Congenital Anomaly ◽  
Case Report ◽  
Review Of Literature ◽  
Rare Congenital Anomaly ◽  
Clinical Presentations ◽  
Complete History ◽  
Radiological Examinations

Though Klippel-Feil syndrome is a rare congenital anomaly and the clinical presentations are varied, a complete history, physical and radiological examinations may reveal the diagnosis.

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 Lingual thyroid

2007 ◽  
Vol 135 (3-4) ◽  
pp. 201-203 ◽  
Author(s):  
Djordje Marina ◽  
Silvija Sajic
Keyword(s):  
Thyroid Gland ◽  
Thyroid Tissue ◽  
Ectopic Thyroid ◽  
Suppressive Therapy ◽  
Lingual Thyroid ◽  
Thyroid Status ◽  
Hormone Substitution ◽  
Female Population ◽  
Age Related ◽  
Base Of The Tongue

Lingual thyroid is a rare congenital malformation that occurs more frequently in the female population. It occurs because of the error in transcriptional factors, the key for the normal differentiation of thyrocyte, so the thyroid gland tissue does not descend normally down the thyroglossal duct to the final position in the neck. Due to that, it can entirely or partially remain at the base of the tongue. This is the most frequent localization of the ectopic tissue while it can remain in the sublingual, suprahyoid and infrahyoid area as well. This disease can be diagnosed in the asymptomatic phase, as well as in the phase of compensatory and manifest hypothyroidism. In the ectopic thyroid gland, all diseases of the thyroid gland can occur as in the usual localization in the neck. The authors show a 6-year old patient, who had a routine medical examination for the inflamed throat, during which a vascular tumefaction was discovered at the base of the tongue. A cyst at the base of the tongue was suspected, but additional examination showed that it was an ectopic thyroid tissue marked as a lingual thyroid gland. Diagnosis of this disease starts with the laboratory analysis of the thyroid status. The next step involves scintigraphy of the thyroid gland with technetium-pertechnetate (99mTc) or radioactive iodine (123I). The therapy of the compensatory hypothyroidism is suppressive therapy with levothyroxine and in the manifest hypothyroidism it is hormone substitution therapy with levothyroxine. Although there are recommended age-related daily doses, they should not be accepted as final, but rather prescribed according to the individual thyroid status. .

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