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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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