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Article
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

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Abstract

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.


Article
Spindle Cell (Sarcomatoid) Carcinoma of the Larynx -- Case Report --

Authors: Nadhim Omran Khadhim --- Ihsan Hadi --- Ahmed Abdullah Alwan --- Haider Jebur Kehiosh
Journal: Karbala Journal of Medicine مجلة كربلاء الطبية ISSN: 19905483 Year: 2014 Volume: 7 Issue: 1 Pages: 1829-1835
Publisher: Kerbala University جامعة كربلاء

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Abstract

A 56 year old male patient presented with a history of recurrent attacks of progressive hoarseness and stridor for the last 9 months, he underwent six laryngeal surgery and the biopsy results were negative for malignancy except the last pathology report which revealed the diagnosis of spindle cell carcinoma of the larynx confirmed by immunohistochemistry. The patient refuses radiotherapy and went to India where they failed to diagnose the disease. The presented case demonstrates that spindle cell carcinoma or sarcomatoid carcinoma is very rare malignant tumor of the larynx but should be suspected in spindle cell tumours of the larynx and awareness of the pathologist to the unusual immunohistochemical presentation of this tumor with the use of expanded immunohistochemical markers panel.

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