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McCoul ED et al. – The authors report on the presentation and management of a 14–year–old girl with multiple foci of thyroid ectopia, absent orthotopic thyroid gland, and hypothyroidism. Thyroglossal duct cyst and lingual thyroid are two common anomalies of thyroid gland development. Each may occur without the thyroid gland in the normal anatomic position, although the association of these three anomalies together is rare. Ectopic thyroid may function abnormally, and this determination can help guide surgical management.

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