Ectopic (Lingual) Thyroid Gland Accompanied with Hemiagenesis of the Right Thyroid Lobe and Follicular Adenoma in the Left; A Case Report

Intrathyroidal parathyroid carcinoma is an exceedingly rare cause of primary hyperparathyroidism. A 51-year-old African American female presented with goiter, hyperparathyroidism, and symptomatic hypercalcemia. Sestamibi scan revealed diffuse activity within an enlarged thyroid gland with uptake in the right thyroid lobe suggestive of hyperfunctioning parathyroid tissue. The patient underwent thyroidectomy and parathyroidectomy. At exploration, a 2.0 cm nodule in the usual location of the right inferior parathyroid was sent for intraoperative frozen consultation, which revealed only ectopic thyroid tissue. No parathyroid glands were identified grossly on the external aspect of the thyroid. Interestingly, postoperative parathyroid hormone levels normalized after removal of the thyroid gland. Examination of the thyroidectomy specimen revealed a 1.4 cm parathyroid nodule located within the parenchyma of the right superior thyroid, with capsular and vascular invasion and local infiltration into surrounding thyroid tissue. We present only the eighth reported case of intrathyroidal parathyroid carcinoma and review the literature.

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Imaging of the Lingual Thyroid: A Case Report and Management

Otorhinolaryngology Clinics - An International Journal ◽

10.5005/jp-journals-10003-1248 ◽

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.

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Acute neonatal respiratory distress caused by a lingual thyroid: the role of nasendoscopy and medical treatment

The Journal of Laryngology & Otology ◽

10.1017/s002221511500002x ◽

2015 ◽

Vol 129 (4) ◽

pp. 403-405 ◽

Cited By ~ 1

Author(s):

L Lane ◽

S Prudon ◽

T Cheetham ◽

S Powell

Keyword(s):

Case Report ◽

Thyroid Gland ◽

Respiratory Distress ◽

Neonatal Screening ◽

Surgical Procedure ◽

Respiratory Symptoms ◽

Lingual Thyroid ◽

Thyroxine Therapy ◽

Neonatal Respiratory Distress

AbstractBackground:A lingual thyroid is a known cause of oropharyngeal obstruction in the neonate. It can be asymptomatic, or present as stridor, dysphonia, dysphagia or dyspnoea with faltering growth. The therapeutic options include surgical resection.Case report:A 6-day-old female neonate, born at 36 weeks gestation, presented with stridulous breathing and poor feeding. Although the cause was initially thought to be laryngomalacia, nasendoscopy revealed a lingual thyroid. The baby had deranged thyroid function, as detected on neonatal screening, but this result was not available until a later date. Despite being symptomatic, the patient was managed medically; thyroxine therapy was associated with resolution of the respiratory symptoms.Conclusion:Nasendoscopy provides valuable information about an ectopic thyroid gland. Thyroid replacement therapy may help to suppress the size of the ectopic gland and ultimately prevent an unnecessary surgical procedure.

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Lingual thyroid causing dysphonia: case report

Sao Paulo Medical Journal ◽

10.1590/s1516-31802004000200007 ◽

2004 ◽

Vol 122 (2) ◽

pp. 67-69 ◽

Cited By ~ 5

Author(s):

Alfio José Tincani ◽

Antonio Santos Martins ◽

André Del Negro ◽

Priscila Pereira Costa Araújo ◽

Gilson Barretto

Keyword(s):

Case Report ◽

Thyroid Gland ◽

Upper Airway ◽

Surgical Excision ◽

Clinical Findings ◽

Ectopic Thyroid ◽

Lingual Thyroid ◽

Recurrent Hemorrhage ◽

Appropriate Treatment ◽

History Of

CONTEXT: Lingual thyroid gland is a rare clinical entity that is caused by the failure of the thyroid gland to descend to a normal cervical location during embryogenesis. The occurrence of an ectopic thyroid gland located at the base of the tongue may cause problems for the patient, with symptoms of dysphagia, dysphonia, upper airway obstruction or even hemorrhage at any time from infancy through adulthood. CASE REPORT: We report on a case of lingual thyroid gland in a 41-year-old female patient. The embryology and diagnosis of ectopic thyroid are discussed and its management is outlined. Features of the diagnostic and therapeutic evaluation are described with attention to the clinical findings, laboratory tests, thyroid scan and computed tomography imaging studies employed in the confirmation of diagnosis and planning of appropriate treatment. The history of the condition is reviewed and a treatment strategy is outlined. Surgical excision of the gland is reserved for cases of gland enlargement that result in compromised airways (dysphagia or dysphonia) or recurrent hemorrhage.

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A case report of coexistence of ectopic lingual thyroid with hypoplastic normal thyroid gland

Journal of the Pakistan Medical Association ◽

10.5455/jpma.5118 ◽

2019 ◽

pp. 1

Author(s):

Junaid Hashmi ◽

Ammarah Ghafoor ◽

Arifa Hashmi ◽

Shaheer Anwar ◽

Zubair Siddiqui ◽

...

Keyword(s):

Case Report ◽

Thyroid Gland ◽

Lingual Thyroid ◽

Normal Thyroid

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Parathyroid cancer: a case report

Problems of Endocrinology ◽

10.14341/probl201460526-28 ◽

2014 ◽

Vol 60 (5) ◽

pp. 26-28

Author(s):

A M Lapshina ◽

I A Voronkova ◽

A Yu Abrosimov ◽

R V Molochkov ◽

D G Bel’tsevich ◽

...

Keyword(s):

Case Report ◽

Thyroid Gland ◽

Clinical Picture ◽

Rare Case ◽

Parathyroid Cancer ◽

Right Lobe ◽

The Right

The authors describe a rare case of parathyroid cancer characterized by the obscure clinical picture of hyperparathyroidism and subtotal ingrowth of the tumour through the right lobe of the thyroid gland.

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Metachronous Colon Metastasis to the Thyroid: A Case Report and Literature Review

Case Reports in Surgery ◽

10.1155/2013/241678 ◽

2013 ◽

Vol 2013 ◽

pp. 1-5 ◽

Cited By ~ 2

Author(s):

Dvir Froylich ◽

Eitan Shiloni ◽

David Hazzan

Keyword(s):

Thyroid Gland ◽

Colon Carcinoma ◽

Malignant Neoplasm ◽

Colon Resection ◽

The Body ◽

Thyroid Lobe ◽

Carcinoma Metastasis ◽

Thyroid Metastases ◽

The Right ◽

Metastatic Colon Carcinoma

The thyroid gland is a known site for metastatic tumors from various primary sites. Thyroid metastases are not an exceptional finding at autopsy, and they are encountered in 2% to 9% of the patients with malignant neoplasm. The most frequent tumors to metastasize are breast, lung, melanoma, and kidney carcinomas. Despite the fact that it is one of the largest vascular organs in the body, clinical and surgical cases have given an incidence of 3% of secondary malignances of this organ. Metastatic colon carcinoma to the thyroid gland has been reported, and it is not as rare as one might think. We present a very unique case of colon carcinoma metastasis to the right thyroid lobe and lung five years after colon resection, with reoccurrence two years later in the contralateral thyroid lobe. The literature regarding colon cancer metastasizing to the thyroid gland was reviewed with an attempt to disclose features of this presentation regarding patient’s prognosis.

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Spindle Cell Metaplasia in Follicular Adenoma of the Thyroid Gland: Case Report and Review of the Literature

Endocrine Journal ◽

10.1507/endocrj.51.457 ◽

2004 ◽

Vol 51 (5) ◽

pp. 457-461 ◽

Cited By ~ 11

Author(s):

Fugen Vardar AKER ◽

Yilmaz BAS ◽

Selvinaz OZKARA ◽

Onder PEKER

Keyword(s):

Case Report ◽

Thyroid Gland ◽

Spindle Cell ◽

Follicular Adenoma ◽

Review Of The Literature

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Myxoid liposarcoma metastatic to the thyroid gland: a case report and literature review

The Journal of Laryngology & Otology ◽

10.1017/s0022215106000867 ◽

2006 ◽

Vol 120 (6) ◽

pp. 511-513 ◽

Cited By ~ 11

Author(s):

J R Tysome ◽

A Sandison ◽

P M Clarke

Keyword(s):

Case Report ◽

Thyroid Gland ◽

Literature Review ◽

Clinical Presentation ◽

Myxoid Liposarcoma ◽

Good Prognosis ◽

Rare Entity ◽

The Right ◽

Patterns Of Recurrence

We present the second reported case of a myxoid liposarcoma metastatic to the thyroid gland in a 51-year-old gentleman with previous liposarcoma of the right thigh. Myxoid liposarcoma has a relatively good prognosis but tends to recur locally. Metastases affecting the thyroid gland are a rare entity and most commonly arise from the kidney, lung or breast. Clinical presentation, patterns of recurrence and prognosis of myxoid liposarcoma and metastases to the thyroid gland are discussed.

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