Abrante Jiménez A, Pérez Fernández F, Cordero Fraile A, Delgado Moreno F
Servicio de ORL, Hospital Universitario Virgen del Rocío de Sevilla.
Acta Otorrinolaringol Esp. 1993 Jan-Feb;44(1):43-6.
A 28-year-old female, diagnosed two years ago of euthyroid lingual thyroid, has been asymptomatic under observation without treatment until her first pregnancy. During her first pregnancy the lingual thyroid tissue increases of size and produces dysphagia, pain and oral hemorrhages. We realize a thyroid hormone treatment (thyroxine) with regular results. Two months after child-birth the female was completely asymptomatic and doesn't need actually thyroxine suppression. Various aspects are reviewed, such as the predisposing factors (puberty, pregnancy, trauma ...), clinical manifestations, diagnosis and medical and surgical treatments in this rara congenital anomaly.
一名28岁女性,两年前被诊断为甲状腺功能正常的舌甲状腺,在观察期间未接受治疗,一直无症状,直至首次怀孕。在她首次怀孕期间,舌甲状腺组织增大,出现吞咽困难、疼痛和口腔出血。我们进行了甲状腺激素治疗(甲状腺素),效果良好。分娩后两个月,该女性完全无症状,目前不需要甲状腺素抑制治疗。本文回顾了这种罕见先天性异常的诱发因素(青春期、怀孕、创伤……)、临床表现、诊断以及内科和外科治疗等各个方面。