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  1 / 99 MEDLINE  
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PMID:29400031
Autor:Gotlib J; Poissonnet G; Bozec A; Ianessi A; Santini J; Dassonville O
Título:[Ectopic thyroid basi-lingual: A case report].
Fuente:Rev Laryngol Otol Rhinol (Bord); 136(3):117-9, 2015.
ISSN:0035-1334
País de publicación:France
Idioma:fre
Resumen:Introduction: The thyroid ectopic gland is a rare anomaly, especially when it's a lingual thyroid. It is characterized by aspecific clinical presentation, causing a diagnostic problem. The diagnosis is based on a combination of imaging techniques as well as histological examination. Case presentation: We are presenting a case of a patient with thyroid basi-lingual treated surgically. Discussion: The low incidence of ectopic lingual thyroid , and their clinical variability requires radiological and isotopic investigations. Conclusion: The diagnosis of this disease is primarily histological. The management of these ectopic thyroid is surgical.
Tipo de publicación:CASE REPORTS; JOURNAL ARTICLE


  2 / 99 MEDLINE  
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PMID:27553698
Autor:Singha A; Biswas D; Patil M
Dirección:Dept. of Endocrinology & Metabolism, Institute of Post Graduate Medical Education & Research/SSKM Hospital, Kolkata 700020, West Bengal, India. Electronic address: drarijits@gmail.com.
Título:A young woman with oligomenorrohea and dysphagia.
Fuente:Eur J Intern Med; 37:e7-e8, 2017 Jan.
ISSN:1879-0828
País de publicación:Netherlands
Idioma:eng
Resumen:A 35-year-old house wife attended our clinic with oligomenorrhea for the last three months. She also complained of diffuse body ache, joint pain and decreased bowel movements. Very often she experienced choking sensation in the throat and had difficulty in swallowing solid food. On examination, goitre was absent but a globular pink colour mass was detected at the base of the tongue.
Tipo de publicación:CASE REPORTS; JOURNAL ARTICLE
Nombre de substancia:Q51BO43MG4 (Thyroxine)


  3 / 99 MEDLINE  
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PMID:27262219
Autor:Akbay E; Simsek G; Kilic R
Dirección:Kirikkale University, Medical Faculty, Department of Otorhinolaryngology, Kirikkale, Turkey. Electronic address: ercanakbay@yahoo.com.
Título:Transposition of lingual thyroid gland to the submandibular region by transoral approach.
Fuente:Auris Nasus Larynx; 44(3):345-350, 2017 Jun.
ISSN:1879-1476
País de publicación:Netherlands
Idioma:eng
Resumen:The purpose of this case report is to demonstrate surgical technique of only functional but symptomatic lingual thyroid gland transposition to submandibular region by transoral approach without mandibulotomy and tongue-splitting. A 37-year-old female patient was admitted to our hospital with dysphagia and apnea symptoms. Physical examination revealed 3cm×3cm lingual thyroid gland was detected at the tongue base. The patient was euthyroid and thyroid gland was not detected in the neck. Under general anesthesia, right submandibular gland excision and transposition of lingual thyroid tissue to submandibular region with dorsal lingual artery axis flap were performed by transoral approach. Thyroid hormones remained normal in the postoperative period. In conclusion transoral transposition of lingual thyroid to submandibular region as a flap without mandibulotomy is a minimally invasive and function preserving alternative approach. Besides preserving thyroid functions, this transoral surgical technique can be preferred by patients who avoid skin incision for esthetic concerns.
Tipo de publicación:CASE REPORTS; JOURNAL ARTICLE


  4 / 99 MEDLINE  
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PMID:27535889
Autor:Chauhan L; Kumar P; Chauhan S; Sood A
Dirección:Department of Pediatrics, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India.
Título:Lingual thyroid presenting as Kocher-Debre-Semelaigne syndrome.
Fuente:J Paediatr Child Health; 52(8):852-3, 2016 Aug.
ISSN:1440-1754
País de publicación:Australia
Idioma:eng
Tipo de publicación:CASE REPORTS; LETTER


  5 / 99 MEDLINE  
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PMID:27502995
Autor:Fernández-Barriales M; Vázquez Marcos V; Álvarez A; Odriozola B; Alonso J; Egea Santaolalla C
Dirección:Oral and Maxillofacial Surgery Department and Sleep Disorders Department, Araba University Hospital, Vitoria-Gasteiz, Spain. Electronic address: marcosfbarriales@gmail.com.
Título:A 51-Year-Old Woman With Hypoacusia and Increased Respiratory Effort in the Supine Position and OSA.
Fuente:Chest; 150(2):e59-64, 2016 Aug.
ISSN:1931-3543
País de publicación:United States
Idioma:eng
Resumen:A 51-year-old woman with a personal history of vitiligo, normal thyroid hormone studies, a simple hysterectomy for multiple uterine myomas at age 35 years, and childhood adenotonsillectomy was seen for progressive hearing loss. She reported mild asthenia, cold intolerance, mild dysphagia with frequent choking while eating and drinking, and a progressive increase in inspiratory effort, especially in the supine position. Her partner described a progressively worsening history of snoring and witnessed apneic episodes, mostly in the supine position. Mild to moderate daytime sleepiness was also present.
Tipo de publicación:CASE REPORTS; JOURNAL ARTICLE; VIDEO-AUDIO MEDIA
Nombre de substancia:0 (Antithyroid Agents); 0 (Radiopharmaceuticals); 554Z48XN5E (Methimazole); A0730CX801 (Sodium Pertechnetate Tc 99m)


  6 / 99 MEDLINE  
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PMID:26864253
Autor:Gandhi A; Wong KK; Gross MD; Avram AM
Dirección:1 Nuclear Medicine/Radiology, University of Michigan , Ann Arbor, Michigan.
Título:Lingual Thyroid Ectopia: Diagnostic SPECT/CT Imaging and Radioactive Iodine Treatment.
Fuente:Thyroid; 26(4):573-9, 2016 Apr.
ISSN:1557-9077
País de publicación:United States
Idioma:eng
Resumen:BACKGROUND: Lingual thyroid is a rare abnormality of thyroid development that is usually treated conservatively with levothyroxine replacement. Rarely, it becomes large enough to cause obstructive symptoms in the oral cavity, requiring definitive treatment. PATIENT FINDINGS: This study reports on three patients with lingual thyroid treated with radioactive iodine-131 ((131)I) with successful radioablation of their ectopic thyroid tissues. Measurement of 24-hour radioactive iodine uptake within thyroidal tissues and hybrid single-photon emission computed tomography/computed tomography imaging using either iodine-123 or technetium-99m pertechnetate scans were performed in all patients demonstrating the location and size of lingual thyroid and absence of an orthotopic thyroid gland. SUMMARY: The aim of this study was to describe nonsurgical management of obstructive lingual thyroid tissue with (131)I therapy for lingual thyroid radioablation. Patients were prepared with a low-iodine diet and levothyroxine withdrawal prior to radioablation for optimizing (131)I uptake in ectopic thyroid tissues. Hybrid single-photon emission computed tomography/computed tomography measurement of anatomic size of lingual thyroid tissue and radioactive iodine uptake guided the selection of therapeutic doses, resulting in administration of 10.7, 17.5, and 15.4 mCi of (131)I, respectively. There were no post-therapy complications, and clinical follow-up demonstrated resolution of obstructive oropharyngeal symptoms. CONCLUSIONS: Ectopic lingual thyroid tissue is rarely associated with obstructive oropharyngeal symptoms due to progressive enlargement. Radioiodine therapy with (131)I is an effective treatment modality for ablation of ectopic thyroid tissue as an alternative to surgery.
Tipo de publicación:JOURNAL ARTICLE
Nombre de substancia:0 (Iodine Radioisotopes); A0730CX801 (Sodium Pertechnetate Tc 99m); Q51BO43MG4 (Thyroxine)


  7 / 99 MEDLINE  
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PMID:26789339
Autor:Carranza Leon BG; Turcu A; Bahn R; Dean DS
Título:LINGUAL THYROID: 35-YEAR EXPERIENCE AT A TERTIARY CARE REFERRAL CENTER.
Fuente:Endocr Pract; 22(3):343-9, 2016 Mar.
ISSN:1530-891X
País de publicación:United States
Idioma:eng
Resumen:OBJECTIVE: Lingual thyroid (LT) results from a developmental abnormality due to failure of the thyroid gland to descend to its pretracheal position. Given the low incidence of this disease, standardized management recommendations are lacking. We aimed to describe our institution's experience in LT management and to suggest a practice algorithm. METHODS: We conducted a retrospective review of LT diagnosed at Mayo Clinic, Rochester, Minnesota, between 1976 and 2010. Demographics, clinical presentation, laboratory data, treatment received, and outcomes were collected. RESULTS: We identified 29 patients with LT. Eighty-three percent were female; age at diagnosis ranged from 2 weeks to 68 years. Almost one-third of patients were symptomatic, with the most common symptoms being cough and hoarseness. The diagnosis of LT was incidental in 9 patients (31%). Seventy-two percent of patients developed hypothyroidism. Levothyroxine was the treatment of choice, followed by thyroidectomy. Two asymptomatic euthyroid patients were followed without any intervention. CONCLUSION: Management of patients with LT should be individualized and guided by the patient's symptoms and thyroid hormone status.
Tipo de publicación:JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL


  8 / 99 MEDLINE  
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PMID:26474916
Autor:Gotlib J; Ianessi A; Santini J; Dassonville O
Dirección:Département d'Oto-rhino-laryngologie et de chirurgie carcinologique de la face et du cou, centre Antoine-Lacassagne, 33, avenue de Valombrose, 06189 Nice cedex, France. Electronic address: gotlibjulia@gmail.com.
Título:Ectopic lingual thyroid.
Fuente:Eur Ann Otorhinolaryngol Head Neck Dis; 133(2):155-6, 2016 Apr.
ISSN:1879-730X
País de publicación:France
Idioma:eng
Tipo de publicación:CASE REPORTS; LETTER


  9 / 99 MEDLINE  
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PMID:25987346
Autor:Sturniolo G; Violi MA; Galletti B; Baldari S; Campennì A; Vermiglio F; Moleti M
Dirección:Dipartimento di Medicina Clinica e Sperimentale, University of Messina, Via Consolare Valeria 1, 98100, Messina, Italy. sturniologiacomo@virgilio.it.
Título:Differentiated thyroid carcinoma in lingual thyroid.
Fuente:Endocrine; 51(1):189-98, 2016 Jan.
ISSN:1559-0100
País de publicación:United States
Idioma:eng
Resumen:The lingual thyroid is the most common form of thyroid ectopy. The ectopic tissue may display any disease affecting the thyroid, including malignancies, which have an estimated incidence of less than 1%. To date only 51 cases of lingual thyroid cancer were reported. Analogously to what observed in orthotopic thyroid, papillary carcinoma is the predominant histotype in lingual thyroid carcinoma. The higher frequency of lingual follicular thyroid carcinoma previously reported is possibly related to histological misclassification in some early reports, prior to the standardization of histological typing of differentiated thyroid carcinomas. Nonetheless, the frequency of the follicular histotype is not negligible, accounting for about one-third of the reported cases. Both natural history and prognosis of lingual thyroid carcinoma are poorly known, likely because of the rarity of the disease and the heterogeneity in the therapeutic approach. However, among the cases more recently reported, surgical excision of the mass, either alone or followed by radioiodine ablation, is the first-line approach, with only two cases treated by radioiodine alone. The nonsignificant rate of neoplastic transformation in lingual thyroid should encourage efforts to obtain a widely accepted consensus for the management of this rare condition, along with standardization of either diagnostic or therapeutic handling of malignancies arising in ectopic thyroid.
Tipo de publicación:CASE REPORTS; JOURNAL ARTICLE; REVIEW
Nombre de substancia:0 (Iodine Radioisotopes)


  10 / 99 MEDLINE  
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PMID:26563340
Autor:Eryilmaz A; Basal Y
Dirección:Department of Otorhinolaryngology, Adnan Menderes University, Aydin, Turkey.
Título:A large lingual thyroid extending to the epiglottis.
Fuente:BMJ Case Rep; 2015, 2015 Nov 11.
ISSN:1757-790X
País de publicación:England
Idioma:eng
Resumen:A 22-year-old man presented to our department with a mass on the base of his tongue. He had a cavernous voice causing a moderate speech disorder, and he had some difficulty in swallowing. He had severe problems with sleep, associated with apnoea. In a fibreoptic laryngoscopic examination, a large 4×5 cm vascular mass was detected extending from the base of the patient's tongue to his epiglottis. It covered the epiglottis. Thyroid scintigraphy showed only thyroid tissue on the base of the tongue. Surgery was initiated transorally under the guidance of a rigid endoscope, but as the mass continued extended to the epiglottis, a transhyoid approach was taken. At a 3-month follow-up, the patient was symptom free. Electrocautery-assisted resection under the guidance of a rigid endoscope can reliably be used in surgery of a lingual thyroid. However, a transhyoid approach provides a better view and also helps in achieving haemostasis.
Tipo de publicación:CASE REPORTS; JOURNAL ARTICLE



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