Multi-nodular Goiter with Intra-tracheal Thyroid Tissue: Ectopic or Implanted? And Ectopic Nasopharyngeal Thyroid Tissue: A Case Report
Muhammad Sami Jabbr*, Jamal Kassouma, Hussain Talib Salman and Gamal Youssef
Dubai Health Authority, Dubai Hospital, Albaraha, Alkhalij Street, Dubai, UAE
- *Corresponding Author:
- Muhammad Sami Jabbr
Dubai Health Authority
Dubai Hospital, Albaraha
Alkhalij Street, Dubai, UAE
E-mail: [email protected]
Received date:: July 30, 2015; Accepted date:: August 17, 2015; Published date:: August 24, 2015
Citation: Jabbr MS, Kassouma J, Salman HT, Youssef G (2015) Multi-nodular Goiter with Intra-tracheal Thyroid Tissue: Ectopic or Implanted? And Ectopic Nasopharyngeal Thyroid Tissue: A Case Report. Otolaryngology 5:204. doi:10.4172/2161-119X.1000204
Copyright: © 2015 Jabbr MS, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
We present a case of intra-tracheal thyroid tissue in a 44 year old woman who had been treated for multi-nodular goiter with left thyroidectomy 26 years earlier, the thyroid tissue was found in the trachea lumen which may appears to have been implanted at the time of this operation or it is a case of ectopic thyroid tissue. The patient presented with progressive right thyroid lobe swelling. Clinical examination and investigations were carried out. Right thyroidectomy was performed first, then after discovering in laryngostroboscopy, CT scan and MRI, the presence of intra-tracheal lesion narrowing the airways, patient had another procedure to remove the residual left thyroid lobe and the intra-tracheal tissue which was thyroid tissue as confirmed by histology examination. Post-operative I131 whole body-scan showed ectopic thyroid tissue in nasopharynx and residual tissue in thyroid bed. Currently the patient is free of complaint, but further investigation: SPECT-CT Scan was requested for better localization.