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Management of lingual thyroid gland (A case report)

Author: Zuhair I. Al-Shaikh زهير الشيخ
Journal: Journal of baghdad college of dentistry مجلة كلية طب الاسنان بغداد ISSN: 16800087 Year: 2012 Volume: 24 Issue: 4 Pages: 112-113
Publisher: Baghdad University جامعة بغداد


Background: Lingual thyroid gland is a rare clinical entity that is caused by the failure of the thyroid gland todescend to a normal cervical location during embryogenesis. The occurrence of an ectopic thyroid gland locatedat the base of the tongue may cause problems for the patient, with symptoms of dysphagia, dysphonia, upperairway obstruction or even hemorrhage at any time from infancy through adulthood.Case report: We report on a case of lingual thyroid gland in a 22-year-old female patient. The embryology anddiagnosis of ectopic thyroid are discussed and its management is outlined. Features of the diagnostic andtherapeutic evaluation are described with attention to the clinical findings, laboratory tests, thyroid scan andcomputed tomography imaging studies employed in the confirmation of diagnosis and planning of appropriatetreatment. The history of the condition is reviewed and a treatment strategy is outlined. Surgical excision of the glandis reserved for cases of gland enlargement that result in compromised airways (dysphagia or dysphonia) or recurrenthemorrhage.

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