Subhyoid ectopic thyroid with a solitary colloid nodule in a 10-year-old girl: a rare diagnostic entity

Authors

  • Meghna Chawla Department of Paediatrics, Smt Kashibai Navale Medical College, Pune, Maharashtra, India
  • Ajay Naik Department of Paediatric Surgery, Smt Kashibai Navale Medical College, Pune, Maharashtra, India
  • Prashant Naik Department of Radiodiagnosis, Smt Kashibai Navale Medical College, Pune, Maharashtra, India

DOI:

https://doi.org/10.18203/2349-2902.isj20180850

Keywords:

Colloid nodule, Ectopic thyroid, Subhyoid ectopic thyroid, Solitary thyroid nodule

Abstract

Ectopic thyroid is a rare clinical entity, of which its presence in a subhyoid location is uncommon. It is equally rare to find a solitary thyroid nodule in the paediatric age group. We report a case of subhyoid ectopic thyroid in a 10-year-old girl, and its course over a span of 3 years. It was associated with a solitary colloid nodule, which eventually became symptomatic and did not respond to suppressive levothyroxine therapy. Hence surgical excision was done, and the child was put on replacement doses of levothyroxine.

References

Noussios G, Anagnostis P, Goulis DG, Lappas D, Natsis K. Ectopic thyroid tissue: anatomical, clinical and surgical implications of a rare entity. European Journal of Endocrinology. 2004;150:431-37.

Di Benedetto V. Ectopic thyroid gland in the submandibular region simulating a thyroglossal duct cyst: a case report. Journal of Paediatric Surgery. 1997;32:1745-6.

Niedziela M. Pathogenesis, diagnosis and management of thyroid nodules in children. Endocr Relat Cancer. 2006;13:427-53.

Corrias A, Mussa A. Thyroid Nodules in Pediatrics:Which Ones Can be Left Alone, Which Ones Must be Investigated, When and How. J Clin Res Pediatr Endocrinol. 2013;5:57-69.

Ibrahim NA, Fadeyibi IO. Ectopic thyroid: etiology, pathology and management. Hormones. 2011;10(4):261-9.

De Felice M, Lauro RD. Thyroid Development and its disorders: genetics and molecular mechanisms. Endocrine Reviews. 2004;25:722-46.

Batsakis JG, El-Naggar Ak, Lua MA. Thyroid gland ectopics. Am Otol Rhino Laryngol. 1996;15:996-1000.

Corrias A, Mussa A, Bariano F, Arrigo T, Saleno M, Segmi M, et al. Study Group of Thyroid Disorders of Italian Society for Paediatric Endocrinology and Diabetology (SIEDP/ISPED). Diagnostic features of thyroid nodules in paediatrics. Arch Pediatr Adolesc Med. 2010;164:714-9.

Corrias A, Mussa A, Wasniewska M, Segni M, Cassio A, Salerno M, et al. Levothyroxine treatment in pediatric benign thyroid nodules. Horm Res Paediatr. 2011;75(4):246-51.

Francis GL, Wagnespack SG, Bauer AJ, Angeles P, Benvenga S, Cerutti JM, et al. Management Guidelines for Children with Thyroid Nodules and Differentiated Thyroid Cancer. Thyroid. 2015;25(7):716-59.

Downloads

Published

2018-02-26

Issue

Section

Case Reports