Hashmi Junaid Zia, Ghafoor Ammarah, Hashmi Arifa Zia, Anwar Shaheer, Siddiqui Zubair, Hashmi Kanza Zia
Nishtar Medical University and Hospital, Multan, Pakistan.
Department of Pathology, Bakhtawar Amin Medical College, Multan, Pakistan.
J Pak Med Assoc. 2020 Feb;70(2):351-353. doi: 10.5455/JPMA.5118.
Ectopic lingual thyroid along with a normally located thyroid gland is an uncommon condition caused by an aberrant descent of thyroid during embryogenesis. It is more common among females and expresses during puberty, pregnancy and menopause. It is mostly associated with hypothyroidism. Patient usually presents with complaints of dysphagia, dysphonia and suffocation. Treatment of choice depends upon the primary complaint of the patient. We present the case of a young female who underwent tracheostomy to relieve respiratory tract obstruction during puberty and was later diagnosed as a case of ectopic lingual thyroid by radioactive iodine uptake and CT scan imaging. She had an associated hypothyroidism; patient was then put on thyroxine and after making her euthyroid she was operated by transoral route and her ectopic lingual thyroid was removed. She was discharged on a maintenance dose of thyroxin.
异位舌甲状腺伴正常位置的甲状腺是一种不常见的疾病，由胚胎发育过程中甲状腺的异常下降引起。它在女性中更常见，在青春期、怀孕和更年期出现。它大多与甲状腺功能减退有关。患者通常表现为吞咽困难、声音嘶哑和窒息感。治疗方法的选择取决于患者的主要症状。我们报告一例年轻女性病例，该患者在青春期因呼吸道梗阻接受了气管切开术，后来通过放射性碘摄取和CT扫描成像被诊断为异位舌甲状腺。她伴有甲状腺功能减退；随后患者开始服用甲状腺素，在使其甲状腺功能正常后，通过经口途径进行手术，切除了异位舌甲状腺。她出院时服用维持剂量的甲状腺素。
