Radioiodine-131 Therapy for Lingual Thyroid

Park, Hee‐Myung; Gupta, Sanjay; Skierczynski, Paul

doi:10.1089/105072503322238881

Cited by 16 publications

(6 citation statements)

References 3 publications

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“…Radioactive iodine can be used to ablate ectopic thyroid tissue 23,24 . The results are inconsistent in thyroid shrinkage and should only be reserved for those who are not surgical candidates 25 .…”

Section: Discussionmentioning

confidence: 99%

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Lingual Thyroid in Children: A Rare Clinical Entity

et al. 2008

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Lingual thyroid is a rare condition, with an incidence of 1:100,000. This infrequent congenital anomaly is often asymptomatic until a pathologic stress such as systemic disease or physiologic stress such as puberty causes enlargement of the ectopic tissue, leading to dysphagia, dysphonia, and dyspnea. The work-up should include routine blood work including thyroid function tests thyrotropin, thyroxine, and thyroid hormone binding ratio; iodine thyroid scintigraphy; and computerized tomography or magnetic resonance imaging. The majority of patients require surgical excision of the symptomatic mass and, in case of absence of orthotopic thyroid tissue, long-term thyroid hormone replacement.

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Section: Discussionmentioning

confidence: 99%

“…Radioactive iodine can be used to ablate ectopic thyroid tissue. 23,24 The results are inconsistent in thyroid shrinkage and should only be reserved for those who are not surgical candidates. 25 It results in a lifelong need for hormone replacement and is contraindicated in women who are pregnant.…”

Section: Managementmentioning

confidence: 99%

Lingual Thyroid in Children: A Rare Clinical Entity

et al. 2008

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“…Higher doses of radioiodine than those used to ablate orthotopic thyroid tissue may, however, be required for the reduction of ectopic tissue. For this reason, this approach should be avoided in children and adolescents to prevent the potentially deleterious effects on surrounding tissues and on other organs 13 14…”

Section: Discussionmentioning

confidence: 99%

Hashimoto's thyroiditis: an accidental discovery of a lingual thyroid in a 7-year-old child

et al. 2013

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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.

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“…Radioiodine therapy can reduce the lingual thyroid dimensions and can be an alternative to surgery in mildly or asymptomatic patients without complaints of obstruction 14,15…”

Section: Discussionmentioning

confidence: 99%

Ectopic lingual thyroid with vascular anomalies

Bianco¹,

Boria²,

Franco³

et al. 2013

IMCRJ

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BackgroundLingual thyroid represents 90% of ectopic thyroid tissue localizations. The first case was described by Hickman in 1869. An ectopic thyroid is often asymptomatic, but pathological or physiological conditions inducing hyperproduction of thyroid-stimulating hormone can lead an ectopic thyroid to become symptomatic. Treatment of the symptomatic ectopic thyroid can be medical, with hormone-suppressing therapy, or surgical.Case presentationA 17-year-old female presented to our outpatient clinic complaining of a sensation of a lump in her throat. Ear, nose, and throat (ENT) examination identified a swelling of the base of the tongue in the glossoepiglottic area. Thyroid scintigraphy showed a single contrast enhancement in the sublingual region, instead of in the normal anatomical position of the thyroid. She was treated surgically after failed hormone-suppressing therapy. An arteriography performed before the surgery showed vascular anomalies and was useful in surgical planning.ConclusionRecognition of vascular anomalies in an ectopic thyroid is fundamental before surgical planning, therefore, accurate radiological study of the vasculature should always be planned before surgical treatment of this disease.

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Radioiodine-131 Therapy for Lingual Thyroid

Cited by 16 publications

References 3 publications

Lingual Thyroid in Children: A Rare Clinical Entity

Lingual Thyroid in Children: A Rare Clinical Entity

Hashimoto's thyroiditis: an accidental discovery of a lingual thyroid in a 7-year-old child

Ectopic lingual thyroid with vascular anomalies

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