Double Ectopic Thyroid Gland in a 10-Year-Old Filipino Boy
Objective: To present a case of a double ectopic thyroid gland in a 10-year old boy and discuss the pros and cons of the different management options that were available. Methods Design: Case Report Setting: Tertiary Hospital in Metro Manila Subject:...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Philippine Society of Otolaryngology-Head and Neck Surgery, Inc.
2018-07-01
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| Series: | Philippine Journal of Otolaryngology Head and Neck Surgery |
| Subjects: | |
| Online Access: | https://pjohns.pso-hns.org/index.php/pjohns/article/view/35 |
| _version_ | 1819042215424425984 |
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| author | Tomas Joaquin C. Mendez Cecilia Gretchen Navarro Locsin |
| author_facet | Tomas Joaquin C. Mendez Cecilia Gretchen Navarro Locsin |
| author_sort | Tomas Joaquin C. Mendez |
| collection | DOAJ |
| description | Objective: To present a case of a double ectopic thyroid gland in a 10-year old boy and discuss the pros and cons of the different management options that were available.
Methods
Design: Case Report
Setting: Tertiary Hospital in Metro Manila
Subject: One (1)
Results: A 10-year-old boy presented with hoarseness and easy fatigability for 6 years. Rigid endoscopy and CT scan showed an infraglottic mass originating from the anterior tracheal wall causing obstruction. Biopsy revealed thyroid tissue with atypia. Thyroid scintigraphy showed uptake in the submental and midline anterior neck. Thyroid hormone levels were consistent with hypothyroidism. Levothyroxine returned hormone levels to normal and resulted in complete regression of the mass with no symptoms of dyspnea, stridor or bleeding.
Conclusion: The management of ectopic thyroid presents a challenge as there are no guidelines for optimal treatment. Thyroid hormone insufficiency is a frequent occurrence, and emphasis must be given to its monitoring. Surgery in a critical airway lesion such as this may be reserved for cases where the patient experiences dyspnea and stridor or lack of response to thyroid hormone treatment.
Keywords: Ectopic thyroid, direct laryngoscopy, thyroid hormone, levothyroxine |
| first_indexed | 2024-12-21T09:37:21Z |
| format | Article |
| id | doaj.art-f72fd29a1ca74fdb892af30c9f81e006 |
| institution | Directory Open Access Journal |
| issn | 1908-4889 2094-1501 |
| language | English |
| last_indexed | 2024-12-21T09:37:21Z |
| publishDate | 2018-07-01 |
| publisher | Philippine Society of Otolaryngology-Head and Neck Surgery, Inc. |
| record_format | Article |
| series | Philippine Journal of Otolaryngology Head and Neck Surgery |
| spelling | doaj.art-f72fd29a1ca74fdb892af30c9f81e0062022-12-21T19:08:36ZengPhilippine Society of Otolaryngology-Head and Neck Surgery, Inc.Philippine Journal of Otolaryngology Head and Neck Surgery1908-48892094-15012018-07-0133110.32412/pjohns.v33i1.35Double Ectopic Thyroid Gland in a 10-Year-Old Filipino BoyTomas Joaquin C. Mendez0Cecilia Gretchen Navarro Locsin1Department of Otolaryngology, Head and Neck Surgery St. Luke’s Medical Center, Quezon CityDepartment of Otolaryngology, Head and Neck Surgery St. Luke’s Medical Center, Quezon CityObjective: To present a case of a double ectopic thyroid gland in a 10-year old boy and discuss the pros and cons of the different management options that were available. Methods Design: Case Report Setting: Tertiary Hospital in Metro Manila Subject: One (1) Results: A 10-year-old boy presented with hoarseness and easy fatigability for 6 years. Rigid endoscopy and CT scan showed an infraglottic mass originating from the anterior tracheal wall causing obstruction. Biopsy revealed thyroid tissue with atypia. Thyroid scintigraphy showed uptake in the submental and midline anterior neck. Thyroid hormone levels were consistent with hypothyroidism. Levothyroxine returned hormone levels to normal and resulted in complete regression of the mass with no symptoms of dyspnea, stridor or bleeding. Conclusion: The management of ectopic thyroid presents a challenge as there are no guidelines for optimal treatment. Thyroid hormone insufficiency is a frequent occurrence, and emphasis must be given to its monitoring. Surgery in a critical airway lesion such as this may be reserved for cases where the patient experiences dyspnea and stridor or lack of response to thyroid hormone treatment. Keywords: Ectopic thyroid, direct laryngoscopy, thyroid hormone, levothyroxinehttps://pjohns.pso-hns.org/index.php/pjohns/article/view/35Ectopic thyroiddirect laryngoscopythyroid hormonelevothyroxine |
| spellingShingle | Tomas Joaquin C. Mendez Cecilia Gretchen Navarro Locsin Double Ectopic Thyroid Gland in a 10-Year-Old Filipino Boy Philippine Journal of Otolaryngology Head and Neck Surgery Ectopic thyroid direct laryngoscopy thyroid hormone levothyroxine |
| title | Double Ectopic Thyroid Gland in a 10-Year-Old Filipino Boy |
| title_full | Double Ectopic Thyroid Gland in a 10-Year-Old Filipino Boy |
| title_fullStr | Double Ectopic Thyroid Gland in a 10-Year-Old Filipino Boy |
| title_full_unstemmed | Double Ectopic Thyroid Gland in a 10-Year-Old Filipino Boy |
| title_short | Double Ectopic Thyroid Gland in a 10-Year-Old Filipino Boy |
| title_sort | double ectopic thyroid gland in a 10 year old filipino boy |
| topic | Ectopic thyroid direct laryngoscopy thyroid hormone levothyroxine |
| url | https://pjohns.pso-hns.org/index.php/pjohns/article/view/35 |
| work_keys_str_mv | AT tomasjoaquincmendez doubleectopicthyroidglandina10yearoldfilipinoboy AT ceciliagretchennavarrolocsin doubleectopicthyroidglandina10yearoldfilipinoboy |