Skip to main content
Top
Published in: European Radiology 11/2010

01-11-2010 | Interpretation Corner

Double thyroid ectopia (with incidental papillary thyroid microcarcinoma) (2010: 8b)

Authors: Alexandra Borges, Mariluz Martins, Saudade André

Published in: European Radiology | Issue 11/2010

Login to get access

Abstract

We present the case of a 45-year-old man with a long-standing history of a slow-growing left submandibular mass. Imaging was diagnostic as it disclosed an absent orthotopic thyroid gland and heterogeneous masses, with both solid and cystic components, as well as calcifications in the left sublingual/submandibular space and in the left paramedian aspect of the tongue base, consistent with double thyroid ectopia, originating from central and lateral thyroid anlages, respectively. Pathology confirmed an ectopic thyroid goiter in the left submandibular space with an incidental papillary microcarcinoma. Scintigraphy also demonstrated ectopic thyroid tissue in the left tongue base.
Literature
1.
go back to reference De Felice M, Lauro D (2004) Thyroid development and its disorders: Genetics and mollecular mechanisms. Endocr Rev 25(5):722–746CrossRefPubMed De Felice M, Lauro D (2004) Thyroid development and its disorders: Genetics and mollecular mechanisms. Endocr Rev 25(5):722–746CrossRefPubMed
2.
go back to reference Fisher DA, Klein A (1981) Thyroid development and disorders of thyroid function in the newborn. N Engl J Med 304:702–712PubMed Fisher DA, Klein A (1981) Thyroid development and disorders of thyroid function in the newborn. N Engl J Med 304:702–712PubMed
3.
go back to reference Devos H, Rodd C, Gagne N, Laframboise R, Van Vliet G (1999) A search for the possible molecular mechanisms of thyroid dysgenesis: sex ratios and associated malformations. J Clin Endocrinol Metab 84:2502–2506CrossRefPubMed Devos H, Rodd C, Gagne N, Laframboise R, Van Vliet G (1999) A search for the possible molecular mechanisms of thyroid dysgenesis: sex ratios and associated malformations. J Clin Endocrinol Metab 84:2502–2506CrossRefPubMed
4.
go back to reference Connelly JF, Coakley JC, Gold H, Francis I, Mathur KS, Rickards AL, Price GJ, Halliday JL, Wolfe R (2001) Newborn screening for congenital hypothyroidism, Victoria, Australia, 1977–1997. I. The screening programme, demography, baseline perinatal data and diagnostic classification. J Pediatr Endocrinol Metab 14:1597–1610PubMed Connelly JF, Coakley JC, Gold H, Francis I, Mathur KS, Rickards AL, Price GJ, Halliday JL, Wolfe R (2001) Newborn screening for congenital hypothyroidism, Victoria, Australia, 1977–1997. I. The screening programme, demography, baseline perinatal data and diagnostic classification. J Pediatr Endocrinol Metab 14:1597–1610PubMed
5.
go back to reference Kumar R, Gupta R, Bal CS, Khullar S, Malhotra A (2000) Thyrotoxicosis in a patient with submandibular thyroid. Thyroid 10:363–365CrossRefPubMed Kumar R, Gupta R, Bal CS, Khullar S, Malhotra A (2000) Thyrotoxicosis in a patient with submandibular thyroid. Thyroid 10:363–365CrossRefPubMed
6.
go back to reference Feller KU, Mavros A, Gaertner HJ (2000) Ectopic submandibular thyroid tissue with a coexisting active and normally located thyroid gland: case report and review of literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 90:618–623CrossRefPubMed Feller KU, Mavros A, Gaertner HJ (2000) Ectopic submandibular thyroid tissue with a coexisting active and normally located thyroid gland: case report and review of literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 90:618–623CrossRefPubMed
7.
go back to reference Batsakis JG, El-Naggar AK, Luna MA (1996) Thyroid gland ectopias. Ann Otol Rhinol Laryngol 105:996–1000PubMed Batsakis JG, El-Naggar AK, Luna MA (1996) Thyroid gland ectopias. Ann Otol Rhinol Laryngol 105:996–1000PubMed
8.
go back to reference Soscia A, Gurerra G, Cinelli MP, Testa D, Galli V, Macchi V, De Caro R (2004) Parapharyngeal ectopic thyroid: the possible persistence of the lateral thyroid anlage. Clinical case report. Surg Radiol Anat 26(4):338–343CrossRefPubMed Soscia A, Gurerra G, Cinelli MP, Testa D, Galli V, Macchi V, De Caro R (2004) Parapharyngeal ectopic thyroid: the possible persistence of the lateral thyroid anlage. Clinical case report. Surg Radiol Anat 26(4):338–343CrossRefPubMed
9.
go back to reference Feisal TK, Prepageran N, Shahrizal T, Zulkiflee AB (2008) Unusual parapharyngeal lesion: aberrant thyroid gland. Singapore Med J 49(5):137–138 Feisal TK, Prepageran N, Shahrizal T, Zulkiflee AB (2008) Unusual parapharyngeal lesion: aberrant thyroid gland. Singapore Med J 49(5):137–138
10.
go back to reference Varga I, Pospisilova V, Gmitterova R, Glafiova P, Polak S, Galbavy S (2008) The phylogenesis and ontogenesis of the human pharyngeal region focused on the thymus, parathyroid and thyroid glands. Neuro Endocrinol Lett 29(6):837–845PubMed Varga I, Pospisilova V, Gmitterova R, Glafiova P, Polak S, Galbavy S (2008) The phylogenesis and ontogenesis of the human pharyngeal region focused on the thymus, parathyroid and thyroid glands. Neuro Endocrinol Lett 29(6):837–845PubMed
11.
go back to reference Kratzsch J, Pulzer F (2008) Thyroid gland developments and defects. Best Pract Res Clin Endocrinol Metab 22(1):57–75CrossRefPubMed Kratzsch J, Pulzer F (2008) Thyroid gland developments and defects. Best Pract Res Clin Endocrinol Metab 22(1):57–75CrossRefPubMed
12.
go back to reference Gorbman A (1986) Comparative anatomy and physiology. In: Ingbar SI, Braverman LE (eds) The thyroid. JB Lippincott Company, Philadelphia, pp 43–52 Gorbman A (1986) Comparative anatomy and physiology. In: Ingbar SI, Braverman LE (eds) The thyroid. JB Lippincott Company, Philadelphia, pp 43–52
13.
14.
go back to reference Wollman SH, Hilfer S (1978) Embryologic origin of the various epithelial cell types in the second kind of thyroid follicle in the C3H mouse. Anat Rec 191:111–121CrossRefPubMed Wollman SH, Hilfer S (1978) Embryologic origin of the various epithelial cell types in the second kind of thyroid follicle in the C3H mouse. Anat Rec 191:111–121CrossRefPubMed
Metadata
Title
Double thyroid ectopia (with incidental papillary thyroid microcarcinoma) (2010: 8b)
Authors
Alexandra Borges
Mariluz Martins
Saudade André
Publication date
01-11-2010
Publisher
Springer-Verlag
Published in
European Radiology / Issue 11/2010
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-010-1781-z

Other articles of this Issue 11/2010

European Radiology 11/2010 Go to the issue