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舌甲状腺:一例病例报告。

Lingual thyroid: A case report.

作者信息

Amr Bassem, Monib Sherif

机构信息

General Surgery Department, West Hertfordshire Hospitals NHS Trust, UK.

出版信息

Int J Surg Case Rep. 2011;2(8):313-5. doi: 10.1016/j.ijscr.2011.10.004. Epub 2011 Oct 19.

DOI:10.1016/j.ijscr.2011.10.004
PMID:22096763
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3215257/
Abstract

INTRODUCTION

Lingual thyroid (LT) gland is a rare clinical entity which was found to occur due to the failure of the thyroid gland to descend to its normal cervical location during embryogenesis. The presence of an ectopic thyroid gland located at the base of the tongue may present with symptoms like dysphagia, dysphonia, upper airway obstruction or even hemorrhage at any time from infancy through adulthood.

PRESENTATION OF CASE

We are presenting a case of 5-year-old girl who presented with lingual thyroid, treated with Suppression treatment followed by elective surgical resection.

DISCUSSION

Incidence of ectopic lingual thyroid gland is reported as 1:100,000. It is more common in females. Most of presentations due to oropharyngeal obstruction, including dysphagia, dyspnea and dysphonia. Investigations include thyroid function tests, neck US, Technetium scanning and C.T.

CONCLUSION

Lingual thyroid is a rare anomaly. Dysphagia and dysphonia are common presenting symptoms. Pathogenesis of this ectopic is unknown. Different types of surgical approaches have been described in the management.

摘要

引言

舌甲状腺(LT)是一种罕见的临床病症,其发生原因是甲状腺在胚胎发育过程中未能下降至正常的颈部位置。位于舌根的异位甲状腺在婴儿期至成年期的任何时候都可能出现吞咽困难、声音嘶哑、上呼吸道梗阻甚至出血等症状。

病例介绍

我们报告一例5岁女童舌甲状腺病例,先采用抑制治疗,随后择期进行手术切除。

讨论

异位舌甲状腺的发病率据报道为1:100,000。女性更为常见。大多数表现为口咽梗阻,包括吞咽困难、呼吸困难和声音嘶哑。检查包括甲状腺功能测试、颈部超声、锝扫描和CT。

结论

舌甲状腺是一种罕见的异常情况。吞咽困难和声音嘶哑是常见的症状表现。这种异位的发病机制尚不清楚。在治疗中已描述了不同类型的手术方法。

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