Table 1.
Showing various characteristics and parameter of the patients
| Parameters | Case-1 | Case-2 | Case-3 | Case-4 | Case-5 | Case-6 | Case-7 | Case-8 | |
|---|---|---|---|---|---|---|---|---|---|
| Age/sex | 6/F | 8/F | 7/F | 32/F | 43/M | 22/F | 18/F | 11/F | |
| Present-ation specific to lingual thyroid | Asym-ptomatic | Asympto-matic | Asymptomatic for lingual thyroid but had a second thyroid anomaly (thyroglossal cyst )presented with a midline neck swelling at subhyoid level | Symptomatic with dysphagia ,breathing difficulty, Snoring, with intermittent bleeding | Asymptomatic for lingual thyroid but had a second sublingual ectopic thyroid tissue presented as a submental swelling | Sympto-matic with dysphagia and globus sensation in throat | Asymptomatic for lingual thyroid but had a second ectopic thyroid tissue presented as a submental swelling with short stature | Asymptomatic for lingual thyroid but had a second thyroid anomaly ( thyroglossal cyst )presented with a midline swelling at subhyoid level | |
|
Examina-tion findings (FOL, Examina-tion of neck) |
Smooth hypervascular mucosa covered globular mass at tongue base | Smooth hypervascular mucosa covered globular mass at tongue base |
1. Smooth hypervascular mucosa covered globular mass at tongue base 2. Midline neck swelling at subhyoid level |
Smooth hypervascular globular mass at tongue base with ulceration of overlying mucosa |
1. Smooth hypervascular mucosa covered globular mass at tongue base 2. Submental swelling |
Smooth hypervascular mucosa covered globular mass at tongue base |
1. Smooth hypervascular mucosa covered globular mass at tongue base 2. Submental swelling |
1. Smooth hypervascular mucosa covered globular mass at tongue base 2. Midline neck swelling at subhyoid level |
|
| Thyroid scan |
Intense focus of tracer uptake at base tongue No uptake in neck |
Intense focus of tracer uptake at base tongue No uptake in neck |
Intense focus of tracer uptake at base tongue No uptake in neck |
Intense focus of tracer uptake at base tongue No uptake in neck |
Intense focus of tracer uptake at base tongue and sublingual region |
Intense focus of tracer uptake at base tongue No uptake in neck |
Intense focus of tracer uptake at base tongue and submental region |
Intense focus of tracer uptake at base tongue No uptake in neck |
|
| CECT | Hyperintense mass at base tongue | Hyperintense mass at base tongue | Hyperintense mass at base tongue and cystic lesion in the neck | Hyperintense mass at base tongue | Hyperintense mass at base tongue and sublingual region | Hyperintense mass at base tongue | Hyperintense mass at base tongue and submental region | Hyperintense mass at base tongue and cystic lesion in the neck | |
| Hormonal status | Euthyroid | Euthyroid | Euthyroid | Hypothyroid | Hypothyroid | Hypothyroid | Hypothyroid | Euthyroid | |
| Orthotopic thyroid | Absent | Absent | Absent | Absent | Absent | Absent | Absent | Absent | |
| Presence of other ectopics | No | No | Yes, thyroglossal cyst at subhyoid level | No | Yes, sublingual region | No | Yes, submental region | Yes, thyroglossal cyst at subhyoid level | |
| Treatment received | Reassurance and regular follow up | Reassurance and regular follow up | Excision of thyroglossal cyst (Sistrunk surgery),no intervension for lingual thyroid | coblation assisted peroral excision of lingual thyroid plus HRP(thyroxin) | HRP(thyroxine) | I131 Ablation with HRP(thyroxin) | Transcervical excision of submental swelling but no intervensionfor lingual thyroid plus HRP | Excision of thyroglossal cyst (Sistrunk surgery),no intervension for lingual thyroid | |
| Follow up | 5 years | 4.5 years | 3.8 years | 3 years | 4 years | 3.8 years | 2.8 years | 3 years | |
| Outcome | Asymptomatic | Asymptomatic | Asymptomatic | Hypothyroidism worsened after urgery and on HRP without any recurrence of symptoms | On HRP without any recurrence of symptoms | On HRP without any recurrence of symptoms | On HRP without any recurrence of symptoms | Asymptomatic | |