Pitchenik A E
South Med J. 1978 Sep;71(9):1179-80. doi: 10.1097/00007611-197809000-00041.
After 15 years of being asymptomatic, this patient with documented lingual thyroid developed a lump in the throat, with dysphagia. Routine thyroid function tests were within normal limits, but serum TSH concentration was increased to twice normal. On thyroxine therapy TSH levels returned to normal and the symptoms were relieved. TSH determinations and suppressive thyroid hormone administration play an important role in the management of a patient with lingual thyroid.
在无症状15年后,这位有记录的舌甲状腺患者出现了喉咙肿块并伴有吞咽困难。常规甲状腺功能检查结果在正常范围内,但血清促甲状腺激素(TSH)浓度增至正常水平的两倍。接受甲状腺素治疗后,TSH水平恢复正常,症状得到缓解。TSH测定及抑制性甲状腺激素给药在舌甲状腺患者的管理中发挥着重要作用。