Document Detail


Lingual thyroid causing dysphonia: evaluation and management. Case report.
MedLine Citation:
PMID:  15257363     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Alfio José Tincani; Antonio Santos Martins; André Del Negro; Priscila Pereira Costa Araújo; Gilson Barretto
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2004-07-05
Journal Detail:
Title:  São Paulo medical journal = Revista paulista de medicina     Volume:  122     ISSN:  1516-3180     ISO Abbreviation:  Sao Paulo Med J     Publication Date:  2004 Mar 
Date Detail:
Created Date:  2004-07-16     Completed Date:  2005-01-03     Revised Date:  2013-05-20    
Medline Journal Info:
Nlm Unique ID:  100897261     Medline TA:  Sao Paulo Med J     Country:  Brazil    
Other Details:
Languages:  eng     Pagination:  67-9     Citation Subset:  IM    
Affiliation:
Faculdade de Ciências Médicas, Universidade Estadual de Campinas (Unicamp), Campinas, São Paulo, Brazil. alfiojt@terra.com.br
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MeSH Terms
Descriptor/Qualifier:
Adult
Choristoma / complications*,  diagnosis
Female
Humans
Thyroid Gland*
Tongue Diseases / complications*,  diagnosis
Voice Disorders / etiology*

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