Alebie Hailemariam Kassaye, Tasew Yilkal Zemene, Seyoum Fitusm Alemayehu, Negash Lense Gelaneh
Department of Otolaryngology-Head and Neck Surgery, St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.
Department of Otolaryngology-Head and Neck Surgery, Head and Neck Surgeon, St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.
Int J Surg Case Rep. 2024 Aug;121:110005. doi: 10.1016/j.ijscr.2024.110005. Epub 2024 Jul 4.
The lingual thyroid gland refers to ectopic thyroid tissue situated at the base of the tongue. This rare condition occurs when the thyroid gland fails to descend to its usual position in the pre-tracheal area during embryonic development.
We present a case of a 23-year-old female who presented with throat discomfort and progressive difficulty of swallowing upon examination there was a mass at the level of the base of the tongue. She was investigated with a thyroid function test, neck ultrasound, at the tongue's base, and head and neck CT scan. With a diagnosed lingual thyroid she was managed initially with suppression therapy followed by elective surgical removal. The work has been reported in line with the SCARE criteria.
The incidence of lingual thyroid is reported to be 1 in 100,000, with a higher prevalence among females, in a ratio of 3:1 compared to males. Symptoms can vary and may include difficulty swallowing (dysphagia), voice changes (dysphonia), upper airway obstruction, or occasional bleeding, and can manifest from infancy to adulthood.
Lingual thyroid is a rare clinical anomaly treatment depending on the severity of symptoms, size of the lesion, sex and age of the patient, and thyroid function.
舌甲状腺是指位于舌根处的异位甲状腺组织。这种罕见情况发生于胚胎发育过程中甲状腺未能降至气管前区的正常位置时。
我们报告一例23岁女性病例，该患者表现为咽喉不适及进行性吞咽困难，检查发现舌根处有一肿物。对其进行了甲状腺功能检查、颈部超声、舌根处检查以及头颈部CT扫描。诊断为舌甲状腺后，最初对其进行抑制治疗，随后择期手术切除。本病例报告符合SCARE标准。
据报道，舌甲状腺的发病率为十万分之一，女性患病率较高，男女比例为3:1。症状可能各异，包括吞咽困难、声音改变、上呼吸道梗阻或偶尔出血，可在婴儿期至成年期出现。
舌甲状腺是一种罕见的临床异常情况，治疗方法取决于症状严重程度、病变大小、患者性别和年龄以及甲状腺功能。
