Oláh Zsolt, Vámos Arpád, Kovács Ilona, Balázs Csaba
Kenézy Gyula Kórház és Rendelóintézet, III. Belgyógyászat, Debrecen.
Orv Hetil. 2003 Dec 21;144(51):2525-9.
Lingual thyroid is a rare embryological aberration with incidence of 1:100,000. It is an ectopic thyroid tissue. In most cases, it is diagnosed in childhood and young adulthood but frequently around menopause. It appears as a mass on the base of the tongue causing mostly local symptoms often with hypothyroidism, rarely with thrive and mental retardation. Authors describe the features, diagnosis and therapy of lingual thyroid with the case of a 23-year-old woman. They analyze the probable pathomechanism and potential risk of malignant transformation of lingual thyroid. In this case, the diagnosis was described at the age of 17, but therapy or further investigation did not take place then. Six years later the patient visited our surgery with local complaints in euthyroid phase. Since the suppression therapy proved to be unsuccessful, the problem was finally solved by operation.
舌甲状腺是一种罕见的胚胎发育异常，发病率为1:100,000。它是异位甲状腺组织。大多数情况下，在儿童期和青年期被诊断出来，但常在围绝经期。它表现为舌根部的肿块，主要引起局部症状，常伴有甲状腺功能减退，很少伴有生长发育和智力迟缓。作者通过一名23岁女性的病例描述了舌甲状腺的特征、诊断和治疗。他们分析了舌甲状腺可能的发病机制和恶变的潜在风险。在这个病例中，17岁时被诊断出来，但当时未进行治疗或进一步检查。六年后，患者在甲状腺功能正常阶段因局部不适前来我们外科就诊。由于抑制治疗未成功，最终通过手术解决了问题。
