Functional lingual thyroid in an adolescent female: A case report and brief literature review

Abdul Rahman Roslenda, Salina Husain, K. N. Gopalan, S. P A Primasha Putra

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background: Lingual thyroid is a rare clinical entity that represents faulty migration of normal thyroid gland. It commonly presents as a benign mass found at the junction of the anterior two-thirds and posterior one-third of the tongue. Although usually asymptomatic, glandular hypertrophy can cause dysphonia, dysphagia, bleeding, or stridor at any time from infancy through adulthood. We report a case that we encountered, discuss the diagnosis and its management, and review the literature. An otherwise asymptomatic 14 year-old girl presented with a posterior tongue mass that had been present since childhood but was never investigated. She was clinically and biochemically euthyroid, with normal thyroid function tests. Physical examination revealed a smooth, globular mass occupying the whole tongue base and valleculae. The epiglottis was slightly displaced posteriorly but the laryngeal inlet was patent. A 99mTcradioisotope scan showed accumulation of tracer in the tongue base and no uptake in the neck. MRI revealed a 1.8-cm diameter soft tissue mass in the posterior part of the tongue. To date she has not required suppressive therapy or surgical intervention. Conclusions: Treatment of lingual thyroid depends on patient symptoms. Most importantly, patients should be followed at regular intervals and educated on the possibility of developing complications.

Original languageEnglish
Pages (from-to)216-219
Number of pages4
JournalBangladesh Journal of Medical Science
Volume10
Issue number3
Publication statusPublished - 2011

Fingerprint

Lingual Thyroid
Tongue
Epiglottis
Thyroid Function Tests
Dysphonia
Respiratory Sounds
Deglutition Disorders
Hypertrophy
Physical Examination
Thyroid Gland
Neck
Hemorrhage
Therapeutics

Keywords

  • Ectopic thyroid
  • Lingual thyroid
  • Thyroid gland

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Functional lingual thyroid in an adolescent female : A case report and brief literature review. / Roslenda, Abdul Rahman; Husain, Salina; Gopalan, K. N.; Primasha Putra, S. P A.

In: Bangladesh Journal of Medical Science, Vol. 10, No. 3, 2011, p. 216-219.

Research output: Contribution to journalArticle

Roslenda, Abdul Rahman ; Husain, Salina ; Gopalan, K. N. ; Primasha Putra, S. P A. / Functional lingual thyroid in an adolescent female : A case report and brief literature review. In: Bangladesh Journal of Medical Science. 2011 ; Vol. 10, No. 3. pp. 216-219.
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