[Dysphagia secondary to lingual thyroid].

Abstract

BACKGROUND:

Lingual thyroid is a rare developmental anomaly originating from aberrant embryogenesis during descent of the gland from its site of origin, the foramen caecum, to its eutopic location.

OBJECTIVE:

We present the case of a 30-year-old female with a history of dysphagia and pharyngeal foreign body sensation over the past 12 months, associated with hypothyroidism.

METHODS:

Diagnostic and therapeutic approaches are discussed.

RESULTS:

Diagnosis of lingual thyroid was made and transoral thyroidectomy was performed as procedure-of-choice. Microscopic analysis revealed normal thyroid tissue with abundant colloid. The patient had an uneventful recovery and was discharged 2 days after surgery. Gamma-gram with Tc99m was scheduled for postoperative follow-up.

CONCLUSIONS:

Transoral lingual thyroidectomy followed by life-long hormonal therapy is the appropiate approach for patients with severe symptoms due to lingual thyroid hypertrophy associated with hypothyroidism.

• Authors: Kuauhyama Luna-Ortiz, Mario A Rascón-Ortiz, Mario Tamez-Velarde, Adalberto Mosqueda-Taylor
• Journal: Revista de gastroenterologia de Mexico (Rev Gastroenterol Mex) 2004 Jul-Sep Vol. 69 Issue 3 Pg. 166-70 ISSN: 0375-0906 [Print] Mexico
• Vernacular Title: Disfagia secundaria a tiroides lingual.
• PMID: 15759789 (Publication Type: Case Reports, English Abstract, Journal Article)

Topics

• Adult
• Deglutition Disorders (diagnosis, etiology, surgery)
• Female
• Humans
• Lingual Thyroid (complications, diagnosis, surgery)
• Thyroidectomy
• Tomography, X-Ray Computed
• Treatment Outcome