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CASE REPORT
Year : 2017  |  Volume : 31  |  Issue : 2  |  Page : 131-133

Lingual thyroid: A rare anomaly


1 Department of Pathology, Dr. DY Patil Medical College, Hospital and Research Centre, Pune, Maharashtra, India
2 Department of Ophthalmology, Dr. DY Patil Medical College, Hospital and Research Centre, Pune, Maharashtra, India

Correspondence Address:
Banyameen Iqbal
Department of Pathology, Dr. DY Patil Medical College, Hospital and Research Center, Pimpri, Pune , Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-4958.204829

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Lingual thyroid (LT) is a rare developmental anomaly originating from aberrant embryogenesis during the passage of the thyroid gland through the neck. LT has an incidence of one in 3,000, with an overall prevalence of one in 100,000. Female to male ratio ranges from 4:1 to 7:1. Clinical presentation is varying, more related to oropharyngeal obstruction, causing mild to severe dysphagia and/or upper airway obstruction, dysphonia, and sleep apnea. Up to 70% of patients with LT have hypothyroidism. Surgery is the treatment of choice in symptomatic cases. We, hereby, report a case of a 16-year-old girl who presented with a midline swelling at the base of the tongue, was hypothyroid, and on oral thyroxine. The swelling was surgically removed and was diagnosed to be LT. The significance of reporting this case is that it should be recognized and treated at the earliest because of the ill effects of hypothyroidism associated with it.


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