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  1 / 6 MEDLINE  
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PMID:24227901
Autor:Pellini R; Mercante G; Ruscito P; Cristalli G; Spriano G
Dirección:Department of Otolaryngology, Head and Neck Surgery, "Regina Elena" National Cancer Institute, Rome, Italy.
Título:Ectopic lingual goiter treated by transoral robotic surgery.
Fuente:Acta Otorhinolaryngol Ital; 33(5):343-6, 2013 Oct.
ISSN:1827-675X
País de publicación:Italy
Idioma:eng
Resumen:Multinodular goiter in lingual thyroid is quite rare. Surgical removal is indicated in symptomatic patients and when cancer is suspected. An external approach is most often used, but is associated with morbidity and sequelae. In this study, we present for the first time the technique of transoral robotic surgery (TORS) for removal of a massive lingual goiter. Prospective patient data were collected, including demographics, medical history, symptoms, comorbidities and drugs prescribed. The da Vinci Surgical System was used for a transoral approach to the oropharynx. The technique was validated in a 31-year-old woman with signs and symptoms of multinodular goiter presenting since childhood. The procedure required 115 min, with intervals as follows: tracheotomy, 25 min; robot setting time, 20 min; and console time, 70 min. TOR S is feasible in cases of multinodular goiter in a lingual thyroid. The procedure appears to be safe, with quick recovery of swallowing and speech.
Tipo de publicación:CASE REPORTS; JOURNAL ARTICLE


  2 / 6 MEDLINE  
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PMID:23966462
Autor:Mariani M; Palpacelli A; Mussoni A; Rossodivita AN
Dirección:Department of Paediatrics, Catholic University, Rome, Italy.
Título:Hashimoto's thyroiditis: an accidental discovery of a lingual thyroid in a 7-year-old child.
Fuente:BMJ Case Rep; 2013, 2013 Aug 21.
ISSN:1757-790X
País de publicación:England
Idioma:eng
Resumen:An ectopic thyroid located at the base of the tongue is a rare entity, resulting from early developmental defects of thyroid gland embryogenesis during its descent from the foramen caecum to its normal eutopic pretracheal site. This condition is the main cause of congenital primary hypothyroidism, even though signs and symptoms of thyroid dysfunction may also appear later in childhood. Lingual thyroid may sometimes present with symptoms of respiratory obstruction or feeding difficulties. We illustrate the case of a 7-year-old girl with subclinical hypothyroidism due to Hashimoto's thyroiditis arising in a lingual thyroid. She had never suffered from upper airway obstructive symptoms, but did refer a 3-month history of cough. Rapid normalisation of thyroid-stimulating hormone levels and termination of the cough were attained when the L-thyroxine treatment started. After 6 months a significant reduction of lingual thyroid size was also noted. The diagnostic procedures and therapeutic options in childhood are discussed.
Tipo de publicación:CASE REPORTS; JOURNAL ARTICLE


  3 / 6 MEDLINE  
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PMID:22001633
Autor:Hze-Khoong EP; Xu L; Shen S; Yin X; Wang L; Zhang C
Dirección:Oral and Maxillofacial Department, Khoo Teck Puat Hospital, Singapore, PR China.
Título:Ectopic lingual thyroid with a multinodular goiter.
Fuente:Surgery; 153(2):294-6, 2013 Feb.
ISSN:1532-7361
País de publicación:United States
Idioma:eng
Tipo de publicación:CASE REPORTS; JOURNAL ARTICLE
Nombre de substancia:0 (Thyroid Hormones)


  4 / 6 MEDLINE  
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PMID:19232175
Autor:Abellán Galiana P; Cámara Gómez R; Campos Alborg V; Rivas Sánchez A; Salom Fuster JV; Muñoz Gómez C
Dirección:Servicio de Endocrinología, Hospital Universitario La Fe, Valencia, España. pabloabellan@comv.es
Título:[Dual ectopic thyroid: subclinical hypothyroidism after extirpation of a submaxillary mass].
Título:Ectopia tiroidea dual: hipotiroidismo subclínico tras exéresis de una masa submandibular..
Fuente:Rev Esp Med Nucl; 28(1):26-9, 2009 Jan-Feb.
ISSN:0212-6982
País de publicación:Spain
Idioma:spa
Resumen:Ectopic thyroid tissue is a rare clinical entity, and more so when it is present in two different locations. We present the case of a 38-year-old euthyroid woman with submandibular and lingual ectopic thyroid tissue in the absence of a normally located thyroid gland, diagnosed after the extirpation of an asymptomatic mass misdiagnosed as a neoplasm of the submaxillary gland. Despite its low frequency, the possibility of ectopic thyroid should be considered when making a differential diagnosis of neck masses, using ultra-sound, thyroid scan and ultrasound-guided fine-needle aspiration biopsy.
Tipo de publicación:JOURNAL ARTICLE


  5 / 6 MEDLINE  
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PMID:16482018
Autor:Giusan AO; Khokhlachev SM
Título:[Aberrant goiter of the root of the tongue].
Fuente:Vestn Otorinolaringol; (1):65, 2006.
ISSN:0042-4668
País de publicación:Russia (Federation)
Idioma:rus
Tipo de publicación:CASE REPORTS; JOURNAL ARTICLE


  6 / 6 MEDLINE  
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PMID:16053391
Autor:Grasberger H; Ringkananont U; Croxson M; Refetoff S
Dirección:Department of Medicine, University of Chicago, Chicago, Illinois, USA.
Título:Resistance to thyroid hormone in a patient with thyroid dysgenesis.
Fuente:Thyroid; 15(7):730-3, 2005 Jul.
ISSN:1050-7256
País de publicación:United States
Idioma:eng
Resumen:We report a patient with the unusual coincidence of two rare congenital disorders, lingual ectopy of the thyroid gland and resistance to thyroid hormone (RTH), resulting in impaired thyroid hormone production and action, respectively. The proposita had a positive thyrotropin (TSH) newborn screening test (350 mU/L, confirmed) with normal thyroxine (T4) and no clinical signs of hypothyroidism. A scintiscan revealed lingual but no orthotopic thyroid tissue. Levothyroxine (LT4) replacement failed to reduce TSH and was discontinued after four months owing to significantly elevated free T4. Her physical and mental development was unremarkable, and she was considered to be clinically euthyroid throughout childhood, even though she received either no T4 or a dose insufficient to lessen hyperthyrotropinemia. At the age of 15 years, T4 was gradually increased to a supraphysiological dose of 300 microg/d, resulting in the normalization of the serum TSH level, and subjective improvements in her ability to concentrate. The proposita's mother was clinically euthyroid, had a palpable diffuse goiter, and thyroid function tests consistent with RTH. This diagnosis was confirmed by detection of a heterozygous mutation (R320H) in the thyroid hormone receptor-beta (TR-beta) gene found in both the proposita and her mother. Under the high-dose T4 regimen, the patient's TSH and free T4 values resembled those of untreated patients with TRbeta R320H mutation, suggesting that a compensated state could be achieved, at least at the pituitary level. In the proposita, treatment of hyperthyrotropinemia is clearly mandatory because of potential complications inflicted by TSH-stimulated growth of the lingual tissue. To our knowledge, this represents the first report of congenital hypothyroidism secondary to thyroid dysgenesis complicated by coincidental RTH.
Tipo de publicación:CASE REPORTS; JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL; RESEARCH SUPPORT, U.S. GOV'T, P.H.S.
Nombre de substancia:0 (Receptors, Thyroid Hormone); 0 (Thyroid Hormone Receptors beta); 9002-71-5 (Thyrotropin); Q51BO43MG4 (Thyroxine)



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