Hashimoto's thyroiditis in a patient with ectopic thyroid

Authors

Keywords:

surgeons, endocrinologists, Hashimoto's thyroiditis, thyroid cyst.

Abstract

Introduction: Ectopic thyroid tissue is due to congenital defective migration from the base of the tongue to the final pretracheal position. It is an infrequent condition and even more so, it is affected by Hashimoto's thyroiditis.
Objective: To present a patient with Hashimoto's thyroiditis in an ectopic thyroid.
Clinical case: A 44-year-old female patient is presented who underwent a right hemithyroidectomy 15 years ago for follicular adenoma. She was assisted in the General Surgery consultation of the "Conrado Benítez García" Provincial Teaching Oncology Hospital in Santiago de Cuba, due to anterosuperior cervical tumor. With the semiological characteristics found during the physical examination, a thyroglossal cyst was revealed, which was not confirmed by cytological study. She underwent a scheduled operation, consisting of total resection of the tumor using the Sistrunk technique. She evolved satisfactorily and was discharged the next day. The postoperative biopsy result showed thyroid tissue with Hashimoto's thyroiditis.
Conclusions: Ectopic thyroid and the pathological clinical conditions that can affect it do not constitute a health problem, but they must be taken into account by surgeons, endocrinologists and oncologists, who in their professional performance face adults with anterosuperior cervical tumor, to consider it in the various conditions. differentials that are apparently easy to diagnose.

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Author Biographies

Iliana Guerra Macias, Hospital Oncológico Provincial Docente Conrado Benítez García

Dr. C. Educación Médica. Esp. II Grado de Cirugía General, MsC. Urgencias Médicas, Profesor e Investigador Auxiliar

Clara Antonia Obregón De la Torre, Hospital Oncológico Provincial Docente Conrado Benítez García

Especialista de Primer Grado en Anatomía Patológica

Iris Rodríguez Marzo, Hospital Oncológico Provincial Docente Conrado Benítez García

Especialista de Segundo Grado en Anatomía patológica

References

1. Salazar O Alejandro, Rojas G Andrés Felipe, Moreno T Andrey, Cadena P Enrique. Tiroides ectópica dual hiperfuncionante: Abordaje quirúrgico dual. Revista Otorrinolaringología Cirugía Cabeza Cuello. 2018; 78(1):110-20. DOI: 10.4067/s0717-75262018000100110

2. Crisol Deza D, Bendezú Huasasquiche L. Estenosis subglótica por tejido tiroideo ectópico con bocio multinodular incipiente. Revista Cubana de Medicina. 2022 [acceso: 10/08/2023]; 61(3 supl):e2642. Disponible en: https://revmedicina.sld.cu/index.php/med/article/view/2642

3. Marcano Sanz L, Endis Miranda M, Araujo Astudillo J. Tiroides lingual obstructivo, intervención quirúrgica vía transcervical suprahioidea: reporte de un caso. Cirugía Pediátrica. 2020 [acceso: 10/08/2023]; 33(1):51-4. Disponible en: https://secipe.org/coldata/upload/revista/2020_33-1ESP_51.pdf

4. Contreras Álvarez P, Calderín Sharp B, Hernández Armstrong L, Venereo Sánchez A. Tiroiditis de Hashimoto en tiroides aberrante. Revista Cubana de Otorrinolaringología y Cirugía de Cabeza y Cuello . 2020 [acceso: 10/08/2023]; 4(1):e129. Disponible en: https://www.revotorrino.sld.cu/index.php/otl/article/view/127/228

5. Penella PA, Portillo MA, Álvarez RA, Mesa MM. Bocio multinodular ectópico submandibular: a propósito de un caso y revisión de la literatura. Revista Otorrinolaringología Cirugía Cabeza Cuello. 2022 [acceso: 10/08/2023]; 82:65-69. Disponible en: https://www.sochiorl.cl/uploads/82-1-9.pdf

6. Laso Jimeno B, Haddad Riesgo A, Almeida Parra F, Acero Sanz J. Ectopia tiroidea doble: a propósito de un caso. Revista Española Cirugía Oral y Maxilofacial. 2021; 43(1):48-51. DOI: 10.20986/recom.2021.1160/2020

7. Ribera Perianes J, García Torres C, Fuster Pelfort D, Vidal Sicart S. Tiroides ectópico sublingual. Imagen diagnóstica. 2019; 10(2):43-6. DOI: 10.33588/imagendiagnostica.1002.49

8. Han S, Xie F, Li Y, You Y, Li Z, Wang X, et al. A dumbbell spinal mass derived from ectopic thyroid. Gland Surg. 2020; 9(2): 447-51. DOI: 10.21037/gs.2020.01.15

9. Braunstein GD. Tiroiditis de Hashimoto. Manual Merck; 2022. [acceso: 10/08/2023]. Disponible en: https://www.merckmanuals.com/es-us/professional/trastornos-endocrinol%C3%B3gicos-y-metab%C3%B3licos/trastornos-tiroideos/tiroiditis-de-hashimoto?query=Tiroiditis%20de%20Hashimoto

10. Galofré Ferrater JC. Tiroiditis de Hashimoto. Navarra: Clínica Universidad de Navarra; 2023. [acceso: 10/08/2023]. Disponible en: https://www.cun.es/enfermedades-tratamientos/enfermedades/tiroiditis-hashimoto

Published

2024-03-14

How to Cite

1.
Guerra Macias I, Obregón De la Torre CA, Rodríguez Marzo I. Hashimoto’s thyroiditis in a patient with ectopic thyroid. Rev Cubana Med Milit [Internet]. 2024 Mar. 14 [cited 2025 Jun. 6];53(1):e024020010. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/20010

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Section

Case Presentation