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Updated: Oct 7 2021

Lingual Thyroid

  • Introduction
      • usually located in the midline neck
      • typically is hypoactive thyroid tissue
  • Presentation
    • Symptoms
      • dysphagia for solids
      • hypothyroidism if tissue is hypoactive
    • Physical exam
      • palpation of midline mass
  • Evaluation
    • 123I scan
      • identifies location of thyroid tissue
  • Treatment
    • Surgical
      • excision if mass is obstructive
        • commonly requires hormone supplementation following excision as this may be the only functioning thyroid tissue in the body
    • Medical
      • thyroxine supression
      • radioactive iodine ablation
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