Lingual thyroid

Case contributed by James Harvey
Diagnosis certain

Presentation

History of snoring. Parents noticed a mass in the child's throat.

Patient Data

Age: 5 years
Gender: Female
ct
This study is a stack
Axial
Dual-phase
This study is a stack
Coronal
Dual-phase
This study is a stack
Sagittal
Dual-phase
Download
Info

There is a dumbbell-shaped, homogeneously enhancing mass at the base of the tongue.

The thyroid is not identified at its usual location.

ultrasound
Download
Info

Two rounded, avascular heterogeneous masses correlate with the masses seen on CT.

No thyroid tissue is seen within the thyroid bed.

Case Discussion

A lingual thyroid is the most common location for ectopic thyroid tissue (90% of cases). During development, thyroid tissue migrates caudially within the midline from the foramen caecum.

Ectopic thyroid tissue may also be found in sublingual, prelaryngeal or mediastinal locations.

In children, a lingual thyroid may rarely cause airway compromise.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

:

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.