Obstructive Lingual Thyroid

http://www.100md.com 《新英格兰医药杂志》

     A 43-year-old woman who was undergoing surgery could not be intubated for the administration of anesthesia because of an unusually narrow oropharynx. Ultrasonography showed a round, solid tumor about 3 cm in diameter at the base of the tongue — a finding that was verified by scintigraphy with technetium-99m labeling, as performed by the Department of Nuclear Medicine, as a lingual thyroid. Although it is not a commonly performed procedure, ablation with iodine-131 appears to be a safe and effective therapeutic alternative to surgery in patients with a benign symptomatic lingual thyroid. The patient underwent successful radioablation and has done well while receiving thyroid hormone–replacement therapy.

    Andreas Barthel, M.D.

    University Hospital Duesseldorf

    D-40225 Duesseldorf, Germany

    Stefan R. Bornstein, M.D., Ph.D.

    Technical University Dresden

    D-01307 Dresden, Germany

    http://www.100md.com/html/DirDu/2006/12/12/31/55/76.htm