Lingual thyroid tissue is the most frequent ectopic location of the th
yroid gland, although its clinical incidence is low with 1 in 100,000
cases occurring. We describe a 25-year-old woman who presented with dy
sphagia due to lingual thyroid tissue. Suppressive hormone therapy did
not have a significant effect. Surgical therapy was used when obstruc
tive symptoms increased. The lingual thyroid was resected partially wh
ile the remaining gland was transposed into a lateral submental region
. Diagnostic procedures using such imaging techniques as scintigraphy,
ultrasound, computed tomography and magnetic resonance imaging and th
erapeutic options are discussed.