Lingual thyroid causing dysphonia: case report

CONTEXT: Lingual thyroid gland is a rare clinical entity that is caused by the failure of the thyroid gland to descend to a normal cervical location during embryogenesis. The occurrence of an ectopic thyroid gland located at the base of the tongue may cause problems for the patient, with symptoms of...

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Main Authors: Alfio José Tincani, Antonio Santos Martins, André Del Negro, Priscila Pereira Costa Araújo, Gilson Barretto
Format: Article
Language:English
Published: Associação Paulista de Medicina
Series:São Paulo Medical Journal
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802004000200007&lng=en&tlng=en
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author Alfio José Tincani
Antonio Santos Martins
André Del Negro
Priscila Pereira Costa Araújo
Gilson Barretto
author_facet Alfio José Tincani
Antonio Santos Martins
André Del Negro
Priscila Pereira Costa Araújo
Gilson Barretto
author_sort Alfio José Tincani
collection DOAJ
description CONTEXT: Lingual thyroid gland is a rare clinical entity that is caused by the failure of the thyroid gland to descend to a normal cervical location during embryogenesis. The occurrence of an ectopic thyroid gland located at the base of the tongue may cause problems for the patient, with symptoms of dysphagia, dysphonia, upper airway obstruction or even hemorrhage at any time from infancy through adulthood. CASE REPORT: We report on a case of lingual thyroid gland in a 41-year-old female patient. The embryology and diagnosis of ectopic thyroid are discussed and its management is outlined. Features of the diagnostic and therapeutic evaluation are described with attention to the clinical findings, laboratory tests, thyroid scan and computed tomography imaging studies employed in the confirmation of diagnosis and planning of appropriate treatment. The history of the condition is reviewed and a treatment strategy is outlined. Surgical excision of the gland is reserved for cases of gland enlargement that result in compromised airways (dysphagia or dysphonia) or recurrent hemorrhage.
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spelling doaj.art-cc37848f423d4fc29a6b5ed986a28dae2022-12-22T03:12:26ZengAssociação Paulista de MedicinaSão Paulo Medical Journal1806-94601222676910.1590/S1516-31802004000200007S1516-31802004000200007Lingual thyroid causing dysphonia: case reportAlfio José Tincani0Antonio Santos Martins1André Del Negro2Priscila Pereira Costa Araújo3Gilson Barretto4Universidade Estadual de CampinasUniversidade Estadual de CampinasUniversidade Estadual de CampinasUniversidade Estadual de CampinasUniversidade Estadual de CampinasCONTEXT: Lingual thyroid gland is a rare clinical entity that is caused by the failure of the thyroid gland to descend to a normal cervical location during embryogenesis. The occurrence of an ectopic thyroid gland located at the base of the tongue may cause problems for the patient, with symptoms of dysphagia, dysphonia, upper airway obstruction or even hemorrhage at any time from infancy through adulthood. CASE REPORT: We report on a case of lingual thyroid gland in a 41-year-old female patient. The embryology and diagnosis of ectopic thyroid are discussed and its management is outlined. Features of the diagnostic and therapeutic evaluation are described with attention to the clinical findings, laboratory tests, thyroid scan and computed tomography imaging studies employed in the confirmation of diagnosis and planning of appropriate treatment. The history of the condition is reviewed and a treatment strategy is outlined. Surgical excision of the gland is reserved for cases of gland enlargement that result in compromised airways (dysphagia or dysphonia) or recurrent hemorrhage.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802004000200007&lng=en&tlng=enThyroidDysphoniaHead and neck tumorsMalformationsX-Ray Computed Tomography
spellingShingle Alfio José Tincani
Antonio Santos Martins
André Del Negro
Priscila Pereira Costa Araújo
Gilson Barretto
Lingual thyroid causing dysphonia: case report
São Paulo Medical Journal
Thyroid
Dysphonia
Head and neck tumors
Malformations
X-Ray Computed Tomography
title Lingual thyroid causing dysphonia: case report
title_full Lingual thyroid causing dysphonia: case report
title_fullStr Lingual thyroid causing dysphonia: case report
title_full_unstemmed Lingual thyroid causing dysphonia: case report
title_short Lingual thyroid causing dysphonia: case report
title_sort lingual thyroid causing dysphonia case report
topic Thyroid
Dysphonia
Head and neck tumors
Malformations
X-Ray Computed Tomography
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802004000200007&lng=en&tlng=en
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AT andredelnegro lingualthyroidcausingdysphoniacasereport
AT priscilapereiracostaaraujo lingualthyroidcausingdysphoniacasereport
AT gilsonbarretto lingualthyroidcausingdysphoniacasereport