Ektopik Lingual Tiroid: Farklı Klinik Bulgu ile Başvuran İki Olgu

Abstract

Ektopik tiroid dokusu, tiroid dokusunun embriyolojik gelişimi sırasında anormal göçü sonucu oluşur ve genellikle lingual yerleşimlidir. Ektopik lingual tiroid bezi asemptomatik olabildiği gibi, disfaji, dispne, kanama, disfoni ve boğazda yabancı cisim hissi gibi semptomlar ile de karşımıza çıkabilir. Biz biri asemptomatik, diğeri ise basıya bağlı semptomları olan subklinik hipotiroidizm ile geç tanı alan iki ektopik lingual tiroid bezi olan olguları sunmayı amaçladık. Ektopik lingual tiroidli hastaların tedavisi; hastaya, tiroid bezinin boyutlarına, laboratuvar ve görüntüleme yöntemlerinin sonuçlarına göre planlanmaktadır.

Keywords

• Adölesan, Ektopik tiroid, Lingual

Ectopic Lingual Thyroid: Two Cases Presenting with Different

Abstract

Ectopic thyroid tissue is the result of abnormal embryologic development/migration of the thyroid gland and is most commonly located in a single location, this being the lingual area. Its occurrence in children is rare. Diagnosis is mainly based on clinical examination and imaging. Clinical symptoms usually seen in patients may include dysphagia, dysphonia, sore throat, occasional bleeding and upper airway obstruction though most patients remain asymptomatic. Here, we presented two ectopic lingual thyroid cases with one being symptomatic and the other one asymptomatic and both suffering from subclinical hypothyroidism.Treatment modalities employed in lingual thyroid depends on factors such as the general condition of patient, thyroid gland size, and laboratory and imaging results

Keywords

• Adolescent, Ectopic thyroid, Lingual

References

1. Turgut S, Özcan KM, Çelikkanat S, Katırcı H, Özdem C. Diagnosis and treatment of lingual thyroid: A review. Rev Laryngol Otol Rhinol 1997;118:189-92.
2. Sauk JJ. Ectopic lingual thyroid. J Pathol 1970;102:239-43.
3. Thomas G, Hoilat R, Daniels JS, Kalagie W. Ectopic lingual thyroid: A case report. Int J Oral Maxillofac Surg 2003;32:219-21.
4. İşgör A. Fonksiyonel embriyoloji. In: İşgör A, (ed). Tiroit Hastalıkları ve Cerrahisi. 1. baskı. İstanbul: Avrupa Tıp Kitapçılık Ltd. Şti, 2000: 25-32.
5. Arriaga MA, Myers EN. Ectopic thyroid in the retroesophageal superior mediastinum. Otolaryngol Head Neck Surg 1988;99:338- 40.
6. Noyek AM, Friedberg J. Thyroglossal duct and ectopic thyroid disorders. Otolaryngol Clin North Am 198;14:187-201.
7. Kalan A, Tariq M. Lingual thyroid gland: Clinical evaluation and comprehensive management. Ear Nose Throat J 1999;78:340-1.
8. Prasad KC, Bhat V. Surgical management of lingual thyroid: A report of four cases. J Oral Maxillofac Surg 2000;58:223-7.

9. Guneri A, Ceryan K, Igci E, Kovanlikaya A. Lingual thyroid: The diagnostic value of magnetic resonance imaging. J Laryngol Otol 1991;105:493-5.
10. Beil CM, Keberle M. Oral and oropharyngeal tumors. Eur J Radiol 2008;66:448-59.
11. Williams JD, Sclafani AP, Slupchinskij O, Douge C. Evaluation and management of the lingual thyroid gland. Ann Otol Rhinol Laryngol 1996;105:312-6.
12. Atiyeh BS, Abdelnour A, Haddad FF, Ahmad H. Lingual thyroid: Tongue-splitting incision for transoral excision. J Laryngol Otol 1995;109:520-4.