Lingual Thyroid with Subclinical Hypothyroidism in a Young Female

Thyroid tissue presenting as a nodule in the base of the tongue due to the embryonic failure to descend to the anterior neck is a rare clinical entity, called lingual thyroid. Clinical presentation varies depending upon the degree of obstruction caused by an enlarged nodule or features related to th...

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Main Authors: Subash Thapa, Prakash Khanal
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Case Reports in Endocrinology
Online Access:http://dx.doi.org/10.1155/2021/6693477
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author Subash Thapa
Prakash Khanal
author_facet Subash Thapa
Prakash Khanal
author_sort Subash Thapa
collection DOAJ
description Thyroid tissue presenting as a nodule in the base of the tongue due to the embryonic failure to descend to the anterior neck is a rare clinical entity, called lingual thyroid. Clinical presentation varies depending upon the degree of obstruction caused by an enlarged nodule or features related to thyroid function. We report a case of a 27-year-old female who presented with a foreign body sensation in the throat with mild dysphagia for 3 weeks. The patient was diagnosed as lingual thyroid with subclinical hypothyroidism based on clinical findings, imaging, and fine-needle aspiration cytology. Conservative management with hormone suppression can result in size reduction of ectopic thyroid tissue improving symptoms without surgery. Lingual thyroid with mild symptoms and subclinical hypothyroidism can be managed conservatively.
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institution Kabale University
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series Case Reports in Endocrinology
spelling doaj-art-365bb8cc0dbf488da1553d64ea57c0d52025-02-03T01:09:55ZengWileyCase Reports in Endocrinology2090-65012090-651X2021-01-01202110.1155/2021/66934776693477Lingual Thyroid with Subclinical Hypothyroidism in a Young FemaleSubash Thapa0Prakash Khanal1Department of Radiology, Nepal Police Hospital, Kathmandu, NepalDepartment of ENT-Head and Neck Surgery, Nepal Police Hospital, Kathmandu, NepalThyroid tissue presenting as a nodule in the base of the tongue due to the embryonic failure to descend to the anterior neck is a rare clinical entity, called lingual thyroid. Clinical presentation varies depending upon the degree of obstruction caused by an enlarged nodule or features related to thyroid function. We report a case of a 27-year-old female who presented with a foreign body sensation in the throat with mild dysphagia for 3 weeks. The patient was diagnosed as lingual thyroid with subclinical hypothyroidism based on clinical findings, imaging, and fine-needle aspiration cytology. Conservative management with hormone suppression can result in size reduction of ectopic thyroid tissue improving symptoms without surgery. Lingual thyroid with mild symptoms and subclinical hypothyroidism can be managed conservatively.http://dx.doi.org/10.1155/2021/6693477
spellingShingle Subash Thapa
Prakash Khanal
Lingual Thyroid with Subclinical Hypothyroidism in a Young Female
Case Reports in Endocrinology
title Lingual Thyroid with Subclinical Hypothyroidism in a Young Female
title_full Lingual Thyroid with Subclinical Hypothyroidism in a Young Female
title_fullStr Lingual Thyroid with Subclinical Hypothyroidism in a Young Female
title_full_unstemmed Lingual Thyroid with Subclinical Hypothyroidism in a Young Female
title_short Lingual Thyroid with Subclinical Hypothyroidism in a Young Female
title_sort lingual thyroid with subclinical hypothyroidism in a young female
url http://dx.doi.org/10.1155/2021/6693477
work_keys_str_mv AT subashthapa lingualthyroidwithsubclinicalhypothyroidisminayoungfemale
AT prakashkhanal lingualthyroidwithsubclinicalhypothyroidisminayoungfemale