• J Laryngol Otol · Mar 2010

    Case Reports

    Multinodular goitre in lingual thyroid: case report.

    • M Zackaria, E J Chisholm, N S Tolley, A Rice, and A Chhatwani.
    • Department of Otolaryngology, St Mary's Hospital, London, UK. drzackaria@hotmail.com
    • J Laryngol Otol. 2010 Mar 1; 124 (3): 349-51.

    ObjectiveWe report a case of a multinodular goitre developing in a lingual thyroid.MethodCase report, and discussion of the embryology and treatment of lingual thyroids.Case ReportA 66-year-old woman presented with dysphagia secondary to a multinodular lingual goitre. A previously silent lingual thyroid had undergone multinodular change to cause dysphagia and eventually airway compromise. The goitre was excised via a midline, mandible-splitting approach.ConclusionLingual thyroids have an incidence of one in 3,000 to 10,000. There has not previously been a reported case of such an ectopic gland undergoing multinodular changes and presenting in later life.

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