• MeSH
• Goiter, Endemic MeSH
• Thyroid Hormones deficiency   toxicity   MeSH
• Iodine deficiency   supply & distribution   MeSH
• Congenital Hypothyroidism drug therapy   metabolism   MeSH
• Humans MeSH
• Adolescent MeSH
• Thyroid Neoplasms surgery   diagnosis   blood   MeSH
• Thyroid Gland * abnormalities   cytology   diagnostic imaging   MeSH
• Goiter diagnostic imaging   diagnosis   drug therapy   blood   physiopathology   prevention & control   MeSH
• Thyroiditis MeSH
• Check Tag
• Humans MeSH
• Adolescent MeSH
• Female MeSH
• Publication type
• Case Reports MeSH
• Review MeSH

• Keywords
• rychlost růstu, porodní délka, objem štítné žlázy, steroidogeneze,
• MeSH
• Thyroiditis, Autoimmune diagnosis   etiology   drug therapy   MeSH
• Cholecalciferol administration & dosage   MeSH
• Diabetes Mellitus, Type 2 drug therapy   therapy   MeSH
• Diabetes Mellitus diagnosis   drug therapy   physiopathology   therapy   MeSH
• Diabetic Ketoacidosis diagnosis   physiopathology   therapy   MeSH
• Diagnosis, Differential MeSH
• Child MeSH
• Pheochromocytoma diagnosis   MeSH
• Graves Disease diagnosis   drug therapy   pathology   MeSH
• Hypoglycemia etiology   MeSH
• Hyponatremia etiology   MeSH
• Hypopituitarism etiology   MeSH
• Adrenal Hyperplasia, Congenital diagnosis   drug therapy   physiopathology   MeSH
• Congenital Hypothyroidism diagnosis   etiology   drug therapy   prevention & control   MeSH
• Humans MeSH
• Dipyrone administration & dosage   MeSH
• Adolescent MeSH
• Adrenal Gland Neoplasms diagnosis   MeSH
• Endocrine System Diseases * diagnosis   etiology   drug therapy   classification   physiopathology   pathology   therapy   MeSH
• Pituitary Diseases etiology   drug therapy   classification   pathology   MeSH
• Adrenal Gland Diseases diagnosis   etiology   drug therapy   classification   MeSH
• Thyroid Diseases diagnostic imaging   classification   physiopathology   MeSH
• Pediatric Obesity diagnosis   etiology   complications   physiopathology   therapy   MeSH
• Puberty, Delayed diagnosis   etiology   drug therapy   pathology   MeSH
• Birth Weight MeSH
• Glucose Intolerance MeSH
• Growth Disorders diagnosis   etiology   classification   MeSH
• Disorders of Sex Development diagnosis   etiology   drug therapy   classification   pathology   MeSH
• Puberty, Precocious etiology   drug therapy   classification   pathology   MeSH
• Prognosis MeSH
• Rickets diagnosis   etiology   drug therapy   classification   blood   MeSH
• Sexual Development physiology   MeSH
• Statistics as Topic MeSH
• Thyroid Gland abnormalities   MeSH
• Inappropriate ADH Syndrome diagnosis   etiology   therapy   MeSH
• Body Height MeSH
• Thyrotropin analysis   MeSH
• Thyroxine analysis   administration & dosage   MeSH
• Age Factors MeSH
• Virilism pathology   MeSH
• Vitamin D administration & dosage   MeSH
• Check Tag
• Child MeSH
• Humans MeSH
• Adolescent MeSH
• Publication type
• Review MeSH

Linguální ektopická štítná žláza reprezentuje poruchu sestupu základu štítné žlázy z oblasti foramen caecumkořene jazyka do místa definitivního uložení na krku. Je nejčastější tyreoidální ektopií s incidencí až 90 % případů. Kazuistika se zaměřuje na šedesátiletého muže, který byl doporučen k ORL vyšetření pro progresi dysfagie a hypotyreózu kompenzovanou levothyroxinem. Epifaryngoskopie, počítačová tomografie (CT) a scintigrafie izotopem technecia (99mTc-pertechnetát) detekovaly heterotopickou tyreoidální tkáň (31×31×27 mm) v kořeni jazyka s vyklenutím do pravé valekuly a nepřítomnost tyreoidální tkáně na přední straně krku. Pro velikost lokálního nálezu byl zvolen zevní přístup – transhyoidní faryngotomie a dočasná tracheostomie. Operace byla provedena harmonickým skalpelem. Nekomplikovaný pooperační průběh byl zajišťován čtyřicetiosmihodinovou kanylací trachey a alimentační nazogastrickou sondou zavedenou na deset dní. Stehy z klidné rány byly odstraněny sedmý pooperační den. Pooperační histologie prokázala ektopickou tkáň štítné žlázy, bez typického pouzdra, vrůstající do okolní příčně-pruhované svaloviny a tuku, byla bez maligních struktur. Pacient je nadále sledován chirurgem i endokrinologem. Linguální ektopie štítné žlázy je vzácná anomálie, na kterou je ale třeba myslet v rámci diferenciální diagnostiky dysfagie, dysfonie či pocitu cizího tělesa v krku. Velikost linguální tyreoidální heterotopie a klinická symptomatologie jsou nejdůležitějšími faktory při volbě chirurgického přístupu.

The ectopic lingual thyroid gland represents the impaired descent of the base of thyroid gland from the area of foramen caecum in a tongue root to its definitive position in the neck. This is the most common thyroidal ectopy with the incidence of up to 90% of cases. The case report deals with a 60-year-old man who was referred to the ONT specialist for a progressive dysphagia and hypothyroidism treated with levothyroxine. Epipharyngoscopy, computed tomography (CT scan) and technetium isotope scinti - graphy (99mTc-pertechnetate) detected heterotopic thyroid tissue (31×31×27 mm) in a tongue root protruding to the right vallecula and the absence of thyroidal tissue in the anterior part of the neck. Due to a large local mass the external approach – trans - hyoidal pharyngotomy and temporary tracheostomy – was chosen. The surgery was performed with harmonic scalpel. The prevention of complications was supported by the insertion of tracheal cannula for 48 hours and the insertion of alimentary nasogastric probe for 10 days. The wound healed well and sutures were removed 7 days after the surgery. The post operative histology confirmed the ectopic thyroid tissue without its typical sheath that invaded to the surrounding transversely striated muscles and fat. There weren’t any malignant structures detected. The patient is still followed up by his surgeon and endocrinologist. Lingual thyroid ectopy is a rare anomaly that must be taken in mind in a process of differential diagnosis in dysphagia, dysphonia or when “alien body” is felt in a throat. The extent of lingual thyroid heterotopy and its clinical presentation are the most important factors when selecting the optimal surgical approach.

• Keywords
• transhyoidní faryngotomie,
• MeSH
• Diagnosis, Differential MeSH
• Hypothyroidism etiology   drug therapy   MeSH
• Middle Aged MeSH
• Humans MeSH
• Lingual Thyroid * diagnosis   surgery   pathology   MeSH
• Thyroid Gland abnormalities   physiopathology   pathology   MeSH
• Tracheostomy MeSH
• Check Tag
• Middle Aged MeSH
• Humans MeSH
• Male MeSH
• Publication type
• Case Reports MeSH

• MeSH
• Respiratory System Abnormalities MeSH
• Mouth Abnormalities MeSH
• Bronchogenic Cyst MeSH
• Vascular Malformations MeSH
• Choanal Atresia surgery   diagnosis   MeSH
• Cysts surgery   diagnosis   etiology   MeSH
• Pharynx * abnormalities   MeSH
• Neck abnormalities   MeSH
• Humans MeSH
• Fistula surgery   diagnosis   etiology   MeSH
• Thyroid Gland abnormalities   MeSH
• Check Tag
• Humans MeSH
• Publication type
• Review MeSH

• MeSH
• Child MeSH
• Hypothyroidism * diagnosis   drug therapy   physiopathology   prevention & control   MeSH
• Iodine * administration & dosage   deficiency   therapeutic use   MeSH
• Iodide Peroxidase * diagnostic use   physiology   immunology   secretion   adverse effects   MeSH
• Pregnancy Complications * MeSH
• Humans MeSH
• Thyroid Diseases * MeSH
• Pilot Projects MeSH
• Mass Screening economics   methods   standards   organization & administration   trends   utilization   MeSH
• Thyroid Gland * abnormalities   anatomy & histology   physiology   physiopathology   secretion   ultrasonography   MeSH
• Pregnancy * MeSH
• Thyroid Function Tests * MeSH
• Thyrotropin * physiology   deficiency   secretion   adverse effects   MeSH
• Thyroxine * physiology   deficiency   secretion   adverse effects   MeSH
• Fetal Development * MeSH
• Developmental Disabilities * MeSH
• Check Tag
• Child MeSH
• Humans MeSH
• Pregnancy * MeSH
• Female MeSH
• Publication type
• Newspaper Article MeSH

• MeSH
• Child MeSH
• Endocrinology MeSH
• Attention Deficit Disorder with Hyperactivity etiology   MeSH
• Intelligence Tests standards   statistics & numerical data   MeSH
• Humans MeSH
• Thyroid Diseases diagnosis   prevention & control   therapy   MeSH
• Fetus MeSH
• Mass Screening MeSH
• Psychomotor Disorders etiology   MeSH
• Thyroid Gland abnormalities   physiology   physiopathology   secretion   MeSH
• Pregnancy MeSH
• Fetal Development MeSH
• Check Tag
• Child MeSH
• Humans MeSH
• Pregnancy MeSH
• Female MeSH
• Publication type
• Newspaper Article MeSH

• Keywords
• Euthyrox,
• MeSH
• Adult MeSH
• Endocrinology methods   MeSH
• Iodine administration & dosage   deficiency   MeSH
• Pregnancy Complications * diagnosis   drug therapy   prevention & control   MeSH
• Humans MeSH
• Thyroid Diseases * diagnosis   drug therapy   classification   complications   blood   prevention & control   MeSH
• Mass Screening methods   trends   MeSH
• Risk Factors MeSH
• Thyroid Gland abnormalities   physiology   physiopathology   pathology   drug effects   MeSH
• Pregnancy MeSH
• Thyroxine administration & dosage   pharmacology   adverse effects   therapeutic use   MeSH
• Check Tag
• Adult MeSH
• Humans MeSH
• Pregnancy MeSH
• Female MeSH

Autoři popisují vzácný případ obstrukce horních polykacích a dýchacích cest ve spojení s ektopickou linguálně uloženou štítnou žlázou. Vedle etiopatogenetického rozboru a symptomatologie se článek zabývá diagnostikou a terapií tohoto onemocnění.

The authors describe the unusual case of the obstruction of the upper swallowing and breathing pathways associated with the ectopic, lingually situated thyroid gland. Additionally to the etiopatogenic analyze and sings and symptoms of this condition, the diagnosis and therapy are also discussed in this article.

• MeSH
• Humans MeSH
• Lingual Goiter epidemiology   complications   MeSH
• Airway Obstruction etiology   MeSH
• Deglutition Disorders etiology   physiopathology   MeSH
• Thyroid Gland abnormalities   pathology   MeSH
• Check Tag
• Humans MeSH
• Publication type
• Case Reports MeSH

We report a case of an incidental finding of the right accessory inferior thyroid artery, emerging from the thyrocervical trunk together with a typical inferior thyroid artery, present in a normal position. On the left side, only single inferior thyroid artery was present. Only one inferior thyroid vein was found on each side. The accessory inferior thyroid artery entered the thyroid gland approximately 1 cm above the normal inferior thyroid, above the superior parathyroid gland. Although accessory vessels of thyroid gland are present in about 5% of cases, the accessory inferior thyroid artery, emerging from subclavian artery and located above the normal inferior thyroid artery, is very rare.

• MeSH
• Arteries abnormalities   anatomy & histology   MeSH
• Adult MeSH
• Humans MeSH
• Thyroid Gland abnormalities   anatomy & histology   MeSH
• Check Tag
• Adult MeSH
• Humans MeSH
• Male MeSH
• Publication type
• Case Reports MeSH

• MeSH
• Cytological Techniques standards   MeSH
• Research Support as Topic MeSH
• Humans MeSH
• Thyroid Neoplasms diagnosis   epidemiology   MeSH
• Radionuclide Imaging economics   trends   utilization   MeSH
• Thyroid Gland abnormalities   pathology   ultrasonography   MeSH
• Biopsy, Fine-Needle utilization   MeSH
• Thyrotropin diagnostic use   MeSH
• Goiter, Nodular diagnosis   pathology   MeSH
• Check Tag
• Humans MeSH
• Female MeSH
• Publication type
• Case Reports MeSH