中国耳鼻咽喉头颈外科2017，Vol.24Issue(5)：221-224,4.DOI:10.16066/j.1672-7002.2017.05.001
舌异位甲状腺的诊治
Diagnosis and therapy of lingual ectopic thyroid
摘要
Abstract
OBJECTIVE To explore the strategy of diagnosis and therapy of lingual ectopic thyroid(LET). METHODS We retrospectively reviewed the clinical data of6 cases of LET, and figured out the clinical features, imaging characteristics, therapy and prognosis.RESULTS 6 lingual ectopic thyroids were diagnosed by the Tc-99m thyroid static imaging; 3 cases accepted surgery, one only took oral levothyroxine, and one selected watch and see. 3 cases of lingual ectopic thyroid accepted the ectopic thyroid transposition and took oral levothyroxine postoperatively. Pharynx foreign body sensation and sleep snoring disappeared one month later. The lingual ectopic thyroid carcinoma resection was performed by direct laryngoscope in one case which was lost to follow up.CONCLUSION The thyroid static imaging is specific to the diagnosis of the LET. The indications of the surgery were obvious symptoms such as airway obstruction, snoring and pharyngeal foreign body sensation, and mass hemorrhage, cystic degeneration and carcinogenesis. The principle of therapy is to retain thyroid function as far as possible and comprehensive use of surgery, thyroid hormone replacement and iodine radiotherapy to improve symptoms, prevention and treatment of hypothyroidism.关键词
舌异位甲状腺/诊断/治疗结果Key words
Lingual Thyroid/Diagnosis/Treatment Outcome引用本文复制引用
许洪波,陈晓红,房居高,李平栋,钟琦,张洋,杨征,黄志刚..舌异位甲状腺的诊治[J].中国耳鼻咽喉头颈外科,2017,24(5):221-224,4.基金项目
国家自然科学基金(81670946)、北京市医管局临床医学发展专项扬帆计划(XMLX201507)和首都医科大学附属北京同仁医院科研骨干基金(2015-YJJ-GGL-002)联合资助 （81670946）
