Lingual thyroid causing dysphonia: case report

Sao Paulo Medical Journal

Alfio José Tincani¹  Antonio Santos Martins¹  André Del Negro¹  Priscila Pereira Costa Araújo¹  Gilson Barretto¹ 

[1] ,Universidade Estadual de Campinas (Unicamp) Faculdade de Ciências Médicas Campinas São Paulo ,Brazil

关键词: Thyroid;    Dysphonia;    Head and neck tumors;    Malformations;    X-Ray Computed Tomography;    Tireóide;    Disfonia;    Tomografia computadorizada por raio x;   

DOI  :  10.1590/S1516-31802004000200007

来源: SciELO

【 摘 要 】

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.

【 授权许可】

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