Paper
Lingual Thyroid Associated with Chronic Cough
Published Oct 1, 2001 · K. Williams, R. Oppenheimer
Otolaryngology- Head and Neck Surgery
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Abstract
A 28-year-old male presented to the ENT clinic with complaints of a cough for the past 9 years. He felt a constant tickle sensation in his throat. He had been treated with various sinus medications without relief. Four months before this examination, he was found to be hypothyroid with a TSH of 20 mcU/mL. His physical examination was unremarkable except for a smooth mass in the midline tongue base sitting on the epiglottis (Fig 1). The work-up included a CAT scan of the neck that demonstrated a 2 × 1.8 cm round enhancing mass in the midline tongue base (Fig 2). A thyroid ultrasound did not demonstrate any normal thyroid tissue. A thyroid scan confirmed an area of uptake in the midline tongue base. The mass did not respond to suppression therapy. We felt that there was some mass effect on the epiglottis contributing to his cough. The patient subsequently underwent transoral laser excision of the lingual thyroid with the CO2 laser.
Case ReportLingual thyroid, a mass in the midline of the tongue, may contribute to chronic cough and should be surgically removed.
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