[Misdiagnosis and mistherapy of ectopic thyroid gland].

Lin Chuang Er Bi Yan Hou Ke Za Zhi

Department of Otolaryngology-Head and Neck Surgery, the General Hospital of Air Force of PLA, Beijing, China.

Published: May 2006

AI Article Synopsis

  • The study investigates the characteristics, diagnosis, and treatment of ectopic thyroid glands (ETG) to prevent misdiagnosis and incorrect treatments.
  • Four cases were analyzed where patients were initially misdiagnosed with thyroglossal duct cysts; all had normal thyroid glands in their necks and underwent successful surgical removal of neck masses.
  • Post-surgery, examinations revealed varying conditions of accessory thyroid glands, and follow-up showed no significant complications, highlighting the importance of thorough pre-operative assessments for accurate ETG diagnosis and management.

Article Abstract

Objective: To explore the clinic characteristic, diagnosis and treatment of ectopic thyroid gland (ETG) and avoid the misdiagnosis and mistherapy of ETG.

Method: The clinic materials of 4 cases with ETG were analysed. Four patients were misdiagnosed thyroglossal duct cyst. The clinical features, diagnosis and management of ETG were discussed.

Result: All of patients had a normal thyroid gland in the neck and underwent a surgical resection of neck mass. Postoperative pathologic examination revealed the neck masses originated from accessory thyroid gland, of them, 1 gland enlargement, 1 adenoma and 2 adenocarcinoma. Fortunately, by the postoperative fellow up, no significant complication was found in the patients.

Conclusion: The well understanding of ETG and the detailed examination before surgical treatment of neck mass, including ultrasonography, CT or MRI, radioactive isotope scanning and fine needle aspiration biopsy, are keys to adequate diagnosis and management of ETG.

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