Maurice N, Makeieff M, Delol J, Bec P, Crampette L, Guerrier B
Service d'Oto-laryngologie et de Chirurgie cervico-faciale, CHU Montpellier.
Ann Otolaryngol Chir Cervicofac. 1995;112(8):399-405.
Lingual thyroid is a rare cause of upper airway obstruction, dysphagia or hypothyroidism symptoms. This report describes three cases of lingual thyroid arising in women. One was in pregnancy and developed a lingual goiter and hemorrhages with hypothyroidy. The second case have been diagnosed because of a dysphagia and the third was asymptomatic and have been diagnosed during physical examination for cervical nodes. Diagnosis and possible therapeutic options are discussed regarding these three cases. Surgical therapy is appropriate for patients with clinical signs of upper airway obstruction or when malignant degeneration is suspected. Without of clinical sign, substitutive therapy with thyroid hormone allows the stabilization or the regression of the ectopic thyroid.
舌甲状腺是上呼吸道梗阻、吞咽困难或甲状腺功能减退症状的罕见病因。本报告描述了3例发生在女性中的舌甲状腺病例。1例为妊娠期，出现舌甲状腺肿、出血并伴有甲状腺功能减退。第2例因吞咽困难而被诊断，第3例无症状，在颈部淋巴结体格检查时被诊断。针对这3例病例讨论了诊断及可能的治疗选择。对于有上呼吸道梗阻临床体征或怀疑有恶性变的患者，手术治疗是合适的。若无临床体征，甲状腺激素替代治疗可使异位甲状腺稳定或缩小。
