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Sultan Qaboos Univ Med J. 2014 Nov;14(4):e571-4. Epub 2014 Oct 14.

Radioactive iodine-131 therapy in the management of ectopic thyroid tissue.

Sultan Qaboos University medical journal

Omayma T El-Shafie, Samir Hussain, Dilip Sankhla, Nicholas Woodhouse

Affiliations

  1. Departments of Medicine, College of Medicine & Health Sciences, Sultan Qaboos University, Muscat, Oman.
  2. Radiology & Molecular Imaging, College of Medicine & Health Sciences, Sultan Qaboos University, Muscat, Oman.

PMID: 25364564 PMCID: PMC4205073

Abstract

The occurrence of ectopic lingual thyroid tissue was first reported over 100 years ago. We report an unusual presentation of ectopic thyroid tissue occurring in the submental area. A 27-year-old female presented to the Sultan Qaboos University Hospital in Muscat, Oman, in October 2011 with an 8 × 6 cm mass which caused difficulty in talking and a feeling of heaviness in the jaw. She was clinically and biochemically euthyroid upon presentation. The clinical diagnosis was confirmed by a technetium(-99m) thyroid scan, magnetic resonance imaging and fine needle aspiration. A single dose of 976 megabecquerels of radioactive iodine-131 resulted in hypothyroidism after three months and the complete disappearance of the swelling and associated symptoms. At a two-year follow-up, the patient was healthy and continuing lifelong replacement therapy with thyroxine.

Keywords: Case Report; Ectopic Thyroid; Fine Needle Aspiration; Iodine Radioisotopes, therapeutic use; Oman; Thyroglossal Cyst; Thyroid, abnormalities

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