Download MBBS Anatomy PPT 5 Thyroid Notes

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THYROID GLAND DEVELOPMENT

? The thyroid gland is the first of the body's endocrine

glands to develop, on approximately the 24th day of

gestation

? It begins its development from a median endodermal

thickening in the floor of the primitive pharynx just

caudal to the future site of the tuberculum impar


Descent of the Thyroid Gland

? Thickening forms a downgrowth, thyroid

diverticulum, which grows into the underlying

mesoderm, and as the embryo elongates and the tongue

grows, the diverticulum descends in front of the neck

and pharyngeal gut

? The diverticulum is connected to the tongue by a

narrow canal, the thyroglossal duct, which opens in

the tongue via the foramen cecum, which persists as a

vestigial pit on the tongue

..Cont

? Diverticulum grows rapidly and forms 2 lobes
? By week 7 of embryonic development, it reaches anterior to

the trachea, having acquired a small median isthmus and 2

lateral lobes. By then, the thyroglossal duct usually has

disappeared

? A pyramidal lobe of the thyroid may be observed in as many

as 50% of patients. This lobe represents a persistence of the

inferior end of the thyroglossal duct that has failed to

obliterate.


? THE THYROID GLAND begins to function at about the end of

month 3, at which time, the first follicles containing colloid can

be seen

? AT FIRST, THE THYROID PRIMORDIUM is made up of a solid

mass of entodermal cells


? It later breaks up into a network of epithelial cords or plates by

invasion of the surrounding mesenchyme

? By week 10, the cords have divided into small cellular groups,

and a lumen forms in each cellular cluster. The cells then

arrange themselves in a single layer around the lumen

? During week 11, colloid is seen in these follicle structures, and

even thyroxine can be demonstrated

REMNANTS OF THE THYROGLOSSAL DUCT

? The normal remains of the thyroglossal duct are the

vestigial foramen cecum (of the tongue) and the

functional pyramidal lobe of the thyroid gland


Congenital malformations

? THYROGLOSSAL DUCT CYSTS AND SINUSES

? Cysts can form anywhere along the course of the developing

thyroglossal duct during descent of the developing thyroid

gland from the tongue

? Remnants of the duct may persist and give rise to cysts in the

tongue or in the midline of the neck, usually below the hyoid

bone
ACCESSORY THYROID TISSUE

? Very rarely the thyroid fails to descend from the tongue area

resulting in a lingual thyroid

? Incomplete descent, which is rare, may result in a cervical

thyroid that is seen in the neck at or just below the hyoid bone

? Accessory thyroid tissue often is fully functional, originates

from remnants of the thyroglossal duct, thus can be found

anywhere from the level of the tongue to where the thyroid

gland comes to rest in the neck

Ectopic Thyroid tissue and Agenesis

? Found in thorax in relation to trachea and bronchi or even

oesophagus

? Believed to arise from endodermal cells displaced during

formation of laryngotracheal tube.

? Agenesis of the Thyroid
? Failure of development of thyroid gland may also occur

This post was last modified on 05 April 2022