Boér András, Pólus Károly
Országos Onkológiai Intézet Fej-, Nyak, Allcsont és Rekonstrukciós Sebészeti Osztály, Budapest, Hungary.
Magy Onkol. 2002;46(4):347-9. Epub 2003 Feb 1.
The ectopic thyroid gland occurring in the midline of the base of tongue is a rare developmental anomaly. It may cause differential diagnostic problems with real malignant tumor. Symptoms, if where are any: foreign-body-feeling, swallowing difficulties, dyspnea, articulation disorders, bleeding and hypothyroidism, but in many cases the diagnosis is accidental. We describe two cases of lingual thyroid gland operated in our department, and discuss the present trends of the treatment of this disease. We agree with most of the authors that only cases presenting with symptoms should be operated, and if possible the normal thyroid tissue should be replaced into the body. However, all discovered cases have to be followed to avoid late hormonal disturbances.
发生于舌根中线处的异位甲状腺是一种罕见的发育异常。它可能会给真正的恶性肿瘤带来鉴别诊断难题。若有症状，表现为异物感、吞咽困难、呼吸困难、发音障碍、出血及甲状腺功能减退，但在很多情况下诊断是偶然的。我们描述了在我们科室手术的两例舌甲状腺病例，并讨论了该病目前的治疗趋势。我们赞同大多数作者的观点，即仅对有症状的病例进行手术，并且如果可能的话，应将正常甲状腺组织移植回体内。然而，所有发现的病例都必须进行随访，以避免后期出现激素紊乱。
