PDF(Pubmed)
Abstract：
BACKGROUND: Ectopic thyroid at the base of the tongue is a rare congenital condition, and it is even rarer to have clinical symptoms and require surgical intervention. This disease is easily misdiagnosed preoperatively. This article reports the diagnosis, surgical treatment, and follow-up of a case of lingual thyroid.
METHODS: The patient was a 54-year-old woman who presented with laryngeal foreign body sensation and dysphagia for 20 d. The lingual thyroid was considered for general examination, and surgery was performed to transpose the lingual thyroid to the right submaxillary region. Pathological analysis confirmed thyroid tissue. The patient experienced complete remission after surgery, but developed hypothyroidism and required thyroid hormone replacement therapy, and her thyroid function gradually recovered over time.
CONCLUSIONS: We report a rare case of lingual thyroid with marked laryngeal foreign body sensation and dysphagia. Symptoms were completely relieved by transposition surgery but postoperative hypothyroidism developed.
METHODS: The patient was a 54-year-old woman who presented with laryngeal foreign body sensation and dysphagia for 20 d. The lingual thyroid was considered for general examination, and surgery was performed to transpose the lingual thyroid to the right submaxillary region. Pathological analysis confirmed thyroid tissue. The patient experienced complete remission after surgery, but developed hypothyroidism and required thyroid hormone replacement therapy, and her thyroid function gradually recovered over time.
CONCLUSIONS: We report a rare case of lingual thyroid with marked laryngeal foreign body sensation and dysphagia. Symptoms were completely relieved by transposition surgery but postoperative hypothyroidism developed.
摘要：
背景：舌根异位甲状腺是一种罕见的先天性疾病，更罕见的是有临床症状，需要手术干预。本病术前容易误诊。这篇文章报告了诊断，手术治疗,并随访1例舌部甲状腺。
方法：患者是一名54岁女性，出现喉部异物感和吞咽困难20d。舌部甲状腺考虑进行一般检查，并进行手术以将舌侧甲状腺转位至右侧颌下区。病理分析证实为甲状腺组织。患者在手术后经历了完全缓解,但是出现了甲状腺功能减退，需要甲状腺激素替代疗法，随着时间的推移，她的甲状腺功能逐渐恢复。
结论：我们报告了一例罕见的舌部甲状腺伴明显的喉异物感和吞咽困难。转位手术后症状完全缓解，但术后出现甲状腺功能减退。
方法：患者是一名54岁女性，出现喉部异物感和吞咽困难20d。舌部甲状腺考虑进行一般检查，并进行手术以将舌侧甲状腺转位至右侧颌下区。病理分析证实为甲状腺组织。患者在手术后经历了完全缓解,但是出现了甲状腺功能减退，需要甲状腺激素替代疗法，随着时间的推移，她的甲状腺功能逐渐恢复。
结论：我们报告了一例罕见的舌部甲状腺伴明显的喉异物感和吞咽困难。转位手术后症状完全缓解，但术后出现甲状腺功能减退。
