Title: Clinical Spectrum and Surgical outcome of Follicular Variant of Papillary Carcinoma of Lingual Thyroid with Nodal Metastasis in Neck and Absent Orthotopic Thyroid Gland
Authors: Dr Bharat Gupta, Dr Sweta Meena, Dr Narendra Kadam, Dr Rohit Yadav, Dr Bijendra Meena
DOI: http://dx.doi.org/10.18535/jmscr/v4i2.26
Abstract
Lingual thyroid is relatively uncommon developmental defect of thyroid gland embryogenesis. We report a case of 48 year-old female patient who presented to us with swellings in both side of neck since 2 years. She was diagnosed follicular variant of papillary carcinoma of lingual thyroid with nodal metastasis and absent orthotopic thyroid tissue . Till date less than 50 cases of lingual thyroid carcinoma have been described inthe international literature .To the best of our knowledge ,less than 3 cases of this variant have been reported. Treatment was managed with surgical excision of all thyroid tissue followed by radioactive iodine ablation and levothyroxine therapy. This case report provides current understanding about the clinical spectrum of this rare condition, also referring to optimal diagnostic approach including role of MRI and management strategies.
Key-words: Follicular variant, Papillary Carcinoma, Lingual Thyroid , Neck Metastasis
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