Abstract
A rare case of lingual thyroid of massive size is being reported in a 28-year-old female patient who presented with dysphonia, fullness in the throat, dysphagia and breathing difficulties. Fibre-optic nasopharyngoscopy revealed a sessile mass occupying the whole of the oro and hypopharynx. The mass was excised and histopathological examination was reported as thyroid tissue. Postoperatively the patient remained euthyroid and did not require thyroxine supplements since the hypoplastic thyroid gland in the prelaryngeal region remained functional.