Sood A, Seam R K, Gupta M, Raj Sharma D, Bhardwaj P
Assistant Professor, Nuclear Medicine Center, Department of Radiotherapy, Indira Gandhi Medical College, Shimla, India.
Iran J Radiol. 2011 Mar;8(1):29-32. Epub 2011 Mar 30.
The ectopic thyroid gland is a rare entity which is mostly found along the line of descent of the thyroid gland. Most of the patients present with midline swelling and usually seek medical attention. Dual ectopic thyroid gland is even rarer. The clinical examination and different imaging modalities establish its diagnosis. Radionuclide studies are highly sensitive and specific in demonstrating the functional tissues in patients with ectopic thyroid, thereby guiding further management. The authors reported a case of ectopic thyroid gland in a girl with midline neck swelling initially, subsequently lost to follow-up. She again presented with enlarged swelling after a period of three years with dual ectopic thyroid in the neck region on thyroid scan. Thyroid scintigraphy demonstrated that progression in the size of ectopic glands was due to neglect in treatment.
异位甲状腺是一种罕见的情况,大多沿着甲状腺的下降线发现。大多数患者表现为中线肿胀,通常会寻求医疗关注。双侧异位甲状腺更为罕见。临床检查和不同的影像学检查方法可确立其诊断。放射性核素研究在显示异位甲状腺患者的功能组织方面具有高度敏感性和特异性,从而指导进一步的治疗。作者报告了一例最初表现为颈部中线肿胀的女孩异位甲状腺病例,随后失访。三年后,她再次出现肿胀增大,甲状腺扫描显示颈部区域有双侧异位甲状腺。甲状腺闪烁显像表明,异位腺体大小的进展是由于治疗被忽视所致。