THE THYROID GLAND

The thyroid body or gland is a deep red glandular mass consisting of two

lobes which lie one on each side of the upper part of the trachea and

lower part of the larynx; these are joined across the middle line by the

isthmus which lies in front of the second and third rings of the

trachea. Occasionally, from the top of the isthmus, a nearly but not

quite median pyramidal lobe runs up toward the hyoid bone, while in

other cases the isthmus may be absent. The gland is relatively larger in

women and children than in the adult male. It is enclosed in a capsule

of cervical fascia and is supplied by the superior and inferior thyroid

arteries on each side, though occasionally a median thyroidea ima artery

is present. On microscopical examination the gland shows a large number

of closed tubular alveoli, lined by columnar epithelial cells,

unsupported by a basement membrane, and filled with colloid or

jelly-like material. These are supported by fibrous septa growing in

from the true capsule, which is distinct from the capsule of cervical

fascia. The lymphatic vessels are large and numerous, and have been

shown by E.C. Baber (_Phil. Trans._, 1881) to contain the same colloid

material as the alveoli. Accessory thyroids, close to the main gland,

are often found.

_Embryology._--The median part of the gland is developed from a tube

which grows down in the middle line from the junction of the buccal

and pharyngeal parts of the tongue (q.v.), between the first and

second branchial arches. This tube is called the thyro-glossal duct

and is entodermal in origin. The development of the hyoid bone

obliterates the middle part of the duct, leaving its upper part as the

foramen caecum of the tongue, while its lower part bifurcates, and so

the asymmetrical arrangement of the pyramidal lobe is accounted for.

A. Kanthack (_J. Anat. and Phys._ vol. xxv., 1891) has denied the

existence of this duct, but on slender grounds. The lateral parts of

the gland are developed from the entoderm of the fourth visceral

clefts, and, joining the median part, lose their pharyngeal connexion.

Nearly, but not quite, the whole of the lateral lobes probably belong

to this part. (For literature and further details see Quain's

_Anatomy_, London, 1892, and J.P. McMurrich's _Development of the

Human Body_, London, 1906.)

_Comparative Anatomy._--The endostyle or hypobranchial groove of

Tunicata (sea squirts) and Acrania (Amphioxus) is regarded as the

first appearance of the median thyroid; this is a median entodermal

groove in the floor of the pharynx, secreting a glairy fluid in which

food particles become entangled and so pass into the intestine. In the

larval lamprey (Ammocoetes) among the Cyclostomata the connexion with

the pharynx is present, but in the adult lamprey (Petromyzon), as in

all adult vertebrates, this connexion is lost. In the Elasmobranchs

the single median thyroid lies close to the mandibular symphysis, but

in the bony fish (Teleostei) it is paired. In the mud fish (Dipnoi)

there is also an indication of a division into two lobes. In the

Amphibia the thyroid forms numerous vesicles close to the anterior end

of the pericardium. In Reptilia it lies close to the trachea, and in

the Chelonia and Crocodilia is paired. In birds it is also paired and

lies near the origin of the carotid arteries. In Mammalia the lateral

lobes make their first appearance. In the lower orders of this class

the isthmus is often absent. (For further details and literature see

R. Wiedersheim's _Vergleichende Anatomie der Wirbeltiere_, Jena, 1902,

and also for literature, Quain's _Anatomy_, London, 1896.)

Encyclopaedia Britannica, 11th Edition, "Dübner, Johann Friedrich" to "Dyeing" Volume 8, Slice 8 · 第 13 / 40 题