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A Rare Case of Ectopic Thyroid: Case Report and Literature Review

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초록

An ectopic thyroid is a very rare entity defined as a thyroid not located in the anterior neck region between the 2nd and 5th tracheal rings. An ectopic thyroid can be found anywhere along the line of the obliterated thyroglossal duct, from the base of the tongue to the mediastinum. Herein, we report the case of a 34-year-old female patient with a follicular neoplasm of a thyroid nodule who presented for thyroidectomy. The patient was found to have an aberrant thyroid, localized postoperatively to be lingual. A careful ultrasound evaluation of all neck regions performed preoperatively by surgeons is important to avoid misdiagnosis. Controversies exist about the optimal treatment of ectopic thyroid. Most authors agree that the treatment depends on the patient’s age, location of the ectopic thyroid, size, and the presence of symptoms or complications such as malignancy.

Abstract

An ectopic thyroid is a very rare entity defined as a thyroid not located in the anterior neck region between the 2nd and 5th tracheal rings. An ectopic thyroid can be found anywhere along the line of the obliterated thyroglossal duct, from the base of the tongue to the mediastinum. Herein, we report the case of a 34-year-old female patient with a follicular neoplasm of a thyroid nodule who presented for thyroidectomy. The patient was found to have an aberrant thyroid, localized postoperatively to be lingual. A careful ultrasound evaluation of all neck regions performed preoperatively by surgeons is important to avoid misdiagnosis. Controversies exist about the optimal treatment of ectopic thyroid. Most authors agree that the treatment depends on the patient’s age, location of the ectopic thyroid, size, and the presence of symptoms or complications such as malignancy.

참고문헌 (9)

  1. Santangelo G, "Prevalence, diagnosis and management of ectopic thyroid glands", Int J Surg, 28(Suppl 1), pp.S1~S6 (2016)
  2. Raji Y, "Ectopic thyroid : the great mimicker", Lung India, 35, pp.248~250 (2018)
  3. Huang Q, "Bilateral papillary thyroid cancer with normal aberrant thyroid tissue", J Surg Case Rep, 2021, pp.rjab578~ (2021)
  4. Chu AC, "Follicular adenoma presenting as lateral aberrant thyroid", J Laryngol Otol, 126, pp.97~99 (2012)
  5. Noussios G, "Ectopic thyroid tissue : anatomical, clinical, and surgical implications of a rare entity", Eur J Endocrinol, 165, pp.375~382 (2011)
  6. Zheng W, "Coexistence of non-functional ectopic thyroid tissue and a normal thyroid : a case report", Exp Ther Med, 6, pp.1059~1061 (2013)
  7. Lukáš J, "Ectopic thyroid with benign and malignant findings : a case series", Int J Surg Case Rep, 66, pp.33~38 (2020)
  8. King WL, "So-called lateral aberrant thyroid tumors", Surg Gynecol Obstet, 74, pp.991~1001 (1942)
  9. Guerra G, "Morphological, diagnostic and surgical features of ectopic thyroid gland : a review of literature", Int J Surg, 12(Suppl 1), pp.S3~S11 (2014)

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