CASE 319: LINGUAL THYROID, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM

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case-319-lingual-thyroid

WOMAN  34 YO  HAD BEEN SUFFERED FROM RECURRENT SORE THROAT, COMING TO SEE  ULTRASOUND OF THE NECK MANY TIMES.

SONOLOGIST  REPORTED  THAT CANNOT FIND  OUT THYROID GLAND  AT THE NECK. ULTRASOUND   CANNOT  FIND  THYROID GLAND NOR THYROID ARTERY (SEE  US1, US2).

BLOOD TEST  =  TSH  6.19UI (N 0,3-5UI)  FREE T4 :1,3 N (0.7-1.8).

MSCT  OF THE  NECK  NON CE   DETECTED  2 HYPERDENSE MASSES  SIZE OF 2-3 CM   WITH HU  119 AT THE BASE OF LINGUAL  AND  BUCCAL PLANTAR ARE (CT1 ).

MSCT  CE OF  THIS MASS =  VERY  QUICK  ENHANCE  TO HU 176 ( CT2).

CT3: LATERAL  VIEW  3 MASSES, CT4   FRONTAL VIEW , CT 5   VASCULAR  OF CAROTID  NO DETECTED  THYROID ARTERY, CT6  3D VIEW OF 2 MASSES.

CONCLUSION :ECTOPIC THYROID GLAND  AT  LINGUAL  AREA.

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