Srpski arhiv za celokupno lekarstvo 2014 Volume 142, Issue 11-12, Pages: 724-727
https://doi.org/10.2298/SARH1412724S
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Dysfunctional ectopic thyroid gland: A case report
Stokić Edita (Faculty of Medicine, Novi Sad + Clinical Center of Vojvodina, Clinic for Endocrinology, Diabetes and Metabolic Disorders, Novi Sad)
Kljajić Vladimir 
(Faculty of Medicine, Novi Sad + Clinical Center of Vojvodina, Clinic for Otorhinolaryngology, Novi Sad)
Iđuški Stevan (Faculty of Medicine, Novi Sad + Clinical Center of Vojvodina, Centre for Radiology, Novi Sad)
Benc Damir (Faculty of Medicine, Novi Sad + Clinical Center of Vojvodina, Clinic for Endocrinology, Diabetes and Metabolic Disorders, Novi Sad)
Popović Đorđe (Faculty of Medicine, Novi Sad + Clinical Center of Vojvodina, Clinic for Endocrinology, Diabetes and Metabolic Disorders, Novi Sad)
Protić Mlađan (Faculty of Medicine, Novi Sad + Clinical Center of Vojvodina, Clinic for Abdominal, Endocrine and Transplantation Surgery, Novi Sad)
Crnobrnja Veljko (Faculty of Medicine, Novi Sad + Clinical Center of Vojvodina, Department for Nuclear Medicine, Novi Sad)
Introduction. Lingual thyroid gland is a rare anomaly of thyroid gland
development, occurring more frequently in females. If it causes local
symptomatology such as dysphagia, dysphonia or dyspnea it is diagnosed in
childhood, however, if it is asymptomatic it is usually diagnosed in
adulthood. Case Outline. We present a 23-year-old female patient in whom we
diagnosed lingual thyroid gland coincidentally during diagnostic procedures
of a concomitant disease. The application of 131I scintigraphy showed an oval
field of intensive accumulation of radio markers in the zone of medial face
line, around tongue base, with the absence of thyroid gland in its
physiological position. Functional testing proved primary hypothyroidism and
we started the application of substitution therapy. The application of
levothyroxine resulted in reaching euthyroid state and the reduction of
thyroid gland size. Conclusion. We present a very rare anomaly of the thyroid
gland, and so far there have been no clear attitudes about further treatment.
The general condition of the patient, age, the size of ectopic thyroid gland
and the existence of local symptomatology or complications represent the
factors that have influence on the choice of treatment method.
Keywords: ectopic thyroid gland, lingual thyroid gland, anomalies of thyroid gland