Division of Pediatric Surgery, Department of Surgery, Mackay Memorial Hospital, Taipei, Taiwan (R.O.C.).
Division of Endocrinology and Metabolism, Department of Internal Medicine, Taiwan Adventist Hospital, Taipei, Taiwan (R.O.C.).
Medicine (Baltimore). 2021 Oct 29;100(43):e27612. doi: 10.1097/MD.0000000000027612.
Ectopic thyroid tissue presenting at the base of the tongue, called lingual thyroid, is a clinical rarity. Clinical presentation varies depending upon either the severity of regional symptoms associated with the enlargement of gland size, or the features related to thyroid dysfunction.
We reported a case of a 29-year-old female who presented with symptoms of easy fatigue and depression for 3 months.
After a series of diagnostic workup, the lingual thyroid with severe hypothyroidism was diagnosed.
She received conservative treatment with thyroid hormone replacement and the symptoms improved significantly.
Lingual thyroid is a rare entity that needs careful diagnostic workup including clinical examination, biochemical tests, imaging methods such as ultrasonography, scintigraphy, computed tomography, magnetic resonance imaging, and fine-needle aspiration cytology to plan the management. Lingual thyroid with hypothyroidism and no neck regional symptoms can be conservatively treated and requires regular follow-up for the prevention of potential risk of malignant transformation.
位于舌根部的异位甲状腺组织，称为舌甲状腺，是一种罕见的临床疾病。临床表现取决于腺体增大引起的局部症状的严重程度，或与甲状腺功能障碍相关的特征。
我们报告了一例 29 岁女性患者，她因易疲劳和抑郁症状持续 3 个月而就诊。
经过一系列诊断检查，诊断为严重甲状腺功能减退的舌甲状腺。
她接受了甲状腺激素替代治疗的保守治疗，症状显著改善。
舌甲状腺是一种罕见的疾病，需要仔细的诊断性检查，包括临床检查、生化检查、影像学方法（如超声、闪烁扫描、计算机断层扫描、磁共振成像和细针抽吸细胞学），以制定治疗计划。无颈部区域症状的甲状腺功能减退的舌甲状腺可以进行保守治疗，需要定期随访，以预防潜在的恶变风险。
