Kansal P, Sakati N, Rifai A, Woodhouse N
Department of Medicine and Pediatrics, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
Arch Intern Med. 1987 Nov;147(11):2046-8.
We describe four patients who presented with a lingual thyroid condition (three females and one male, aged between 7 and 22 years). Only the male patient was symptomatic with mild dysphagia and hemoptysis. The diagnosis was suspected in three patients, and was confirmed by iodine 123 or 131 scanning in all patients and by a computed tomographic scan in the one patient studied. The patient with dysphagia received a 10-mCl therapeutic dose of iodine 131 before thyroxine replacement was started. The diagnosis and management of lingual thyroid is discussed. All patients need lifelong thyroxine suppression. Unenhanced computed tomographic scans have a diagnostic appearance due to the iodine content of the ectopic thyroid tissue.
我们描述了4例患有舌甲状腺疾病的患者（3名女性和1名男性，年龄在7至22岁之间）。只有男性患者出现轻度吞咽困难和咯血症状。3例患者被怀疑患有该病，所有患者均通过碘123或131扫描确诊，其中1例患者还通过计算机断层扫描确诊。吞咽困难的患者在开始甲状腺素替代治疗前接受了10毫居里的碘131治疗剂量。本文讨论了舌甲状腺的诊断和治疗。所有患者都需要终身服用甲状腺素进行抑制治疗。由于异位甲状腺组织中的碘含量，未增强的计算机断层扫描具有诊断特征。
