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Multinodular goitre in lingual thyroid: case report

Published online by Cambridge University Press:  20 October 2009

M Zackaria ,
E J Chisholm ,
N S Tolley ,
A Rice  and
A Chhatwani
M Zackaria*
Affiliation:
Department of Otolaryngology, St Mary's Hospital, London, UK
E J Chisholm
Affiliation:
Department of Otolaryngology, St Mary's Hospital, London, UK
N S Tolley
Affiliation:
Department of Otolaryngology, St Mary's Hospital, London, UK
A Rice
Affiliation:
Department of Histopathology, St Mary's Hospital, London, UK
A Chhatwani
Affiliation:
Department of Anaesthesia, St Mary's Hospital, London, UK
*
Address for correspondence: Dr M Zackaria, Specialist Registrar in Otolaryngology, St Mary's Hospital, Praed Street, London W2 1NY, UK. Fax: 0207 8861847 E-mail: drzackaria@hotmail.com
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Abstract

Objective:

We report a case of a multinodular goitre developing in a lingual thyroid.

Method:

Case report, and discussion of the embryology and treatment of lingual thyroids.

Case report:

A 66-year-old woman presented with dysphagia secondary to a multinodular lingual goitre. A previously silent lingual thyroid had undergone multinodular change to cause dysphagia and eventually airway compromise. The goitre was excised via a midline, mandible-splitting approach.

Conclusion:

Lingual thyroids have an incidence of one in 3000 to 10 000. There has not previously been a reported case of such an ectopic gland undergoing multinodular changes and presenting in later life.

Keywords

Lingual ThyroidThyroid GlandMultinodular Goitre
Type
Clinical Record
Information
The Journal of Laryngology & Otology , Volume 124 , Issue 3 , March 2010 , pp. 349 - 351
Copyright
Copyright © JLO (1984) Limited 2009

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References

1De Felice, M, Di Lauro, R. Thyroid development and its disorders: genetics and molecular mechanisms. Endocr Rev 2004;25:722–46CrossRefGoogle ScholarPubMed
2Alt, B, Elsalini, OA, Schrumpf, P, Haufs, N, Nathan, DL, Schwabe, GC et al. Arteries define the position of the thyroid gland during its developmental relocalisation. Development 2006;133:3797–804CrossRefGoogle ScholarPubMed
3Williams, JD, Sclafani, AP, Slupchinskij, O, Douge, C. Evaluation and management of the lingual thyroid gland. Ann Otol Rhinol Laryngol 1996;105:312–16CrossRefGoogle ScholarPubMed
4Brandwein, M, Som, P, Urken, M. Benign intratracheal thyroid: a possible cause for preoperative overstaging. Arch Otolaryngol Head Neck Surg 1998;124:1266–9CrossRefGoogle ScholarPubMed
5Kumar, R, Gupta, R, Bal, CS, Khullar, S, Malhotra, A. Thyrotoxicosis in a patient with submandibular thyroid. Thyroid 2000;10:363–5CrossRefGoogle Scholar
6Feller, KU, Mavros, A, Gaertner, HJ. Ectopic submandibular thyroid tissue with a coexisting active and normally located thyroid gland: case report and review of literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000;90:618–23CrossRefGoogle ScholarPubMed
7Casanova, JB, Daly, RC, Edwards, BS, Tazelaar, HD, Thompson, GB. Intracardiac ectopic thyroid. Ann Thorac Surg 2000;70:1694–6CrossRefGoogle ScholarPubMed
8Takahashi, T, Ishikura, H, Kato, H, Tanabe, T, Yoshiki, T. Ectopic thyroid follicles in the submucosa of the duodenum. Virchows Arch 1991;418:547–50CrossRefGoogle ScholarPubMed
9Harach, HR. Ectopic thyroid tissue adjacent to the gallbladder. Histopathology 1998;32:90–1CrossRefGoogle ScholarPubMed
10Ghanem, N, Bley, T, Altehoefer, C, Hogerle, S, Langer, M. Ectopic thyroid gland in the porta hepatis and lingua. Thyroid 2003;13:503–7CrossRefGoogle ScholarPubMed
11Ulug, T, Ulubil, SA, Alagol, F. Dual ectopic thyroid: report of a case. J Laryngol Otol 2003;117:574–6CrossRefGoogle ScholarPubMed
12Hazarika, P, Siddiqui, SA, Pujary, K, Shah, P, Nayak, DR, Balakrishnan, R. Dual ectopic thyroid: a report of two cases. J Laryngol Otol 1998;112:393–5CrossRefGoogle ScholarPubMed
13Long, RTL, McChesney, E, Beggs, JH. Surgical management of ectopic thyroid: report of a case with simultaneous lingual and subhyoid median ectopic thyroid. Ann Surg 1964;160:824–7CrossRefGoogle ScholarPubMed
14Hickman, W. Congenital tumour of the base of the tongue pressing down the epiglottis on the larynx and causing death by suffocation sixteen hours after birth. Trans Pathologic Society of London 1869;20:160–1Google Scholar
15Taibah, K, Ahmed, M, Baessa, E, Saleem, M, Rifai, A, Al-Arifi, A. An unusual cause of obstructive sleep apnoea presenting during pregnancy. J Laryngol Otol 1998;112:1189–91CrossRefGoogle ScholarPubMed
16Hafidh, MA, Sheahan, P, Khan, NA, Colreavy, M, Timon, C. Role of CO2 laser in the management of obstructive ectopic lingual thyroids. J Laryngol Otol 2004;118:807–9CrossRefGoogle ScholarPubMed
17Minuto, FM, Fazzuoli, L, Rollandi, GA, Derchi, LE, Biassoni, P. Successful autotransplantation of lingual thyroid: 37-year follow-up. Lancet 1995;346:910CrossRefGoogle ScholarPubMed
18Wu, ZX, Zheng, LW, Dong, YJ, Li, ZB, Zhang, WF, Zhao, YF. Modified approach for lingual thyroid transposition: report of two cases. Thyroid 2008;18:465–8CrossRefGoogle ScholarPubMed
19Ward, GE, Cantrell, JR, Allan, WB. The surgical treatment of lingual thyroid. Ann Surg 1954;139:536–44CrossRefGoogle ScholarPubMed