DOI: 10.36347/sjmcr.2016.v04i05.005

Pages: 299-301

Thyroid carcinoma comprises 1% of all malignancies. Follicular thyroid carcinoma 9 (FTC) is the second most common malignancy of the thyroid. Vascular invasion and hematogenous metastases to bone ,lungs , brain, skin and adrenal glands have a reported incidence of 11 to 25%. The initial presentation of the patient with distant metastases is rare. We report a case of an asymptomatic female patient who presented to us with a large soft tissue mass in the scalp. Fine needle aspiration (FNAC) of the lesion was inconclusive and hence an incisional biopsy was contemplated . Biopsy showed metastatic follicular carcinoma of the thyroid. The thyroid gland was re assessed by Ultrasonography and FNAC and a diagnosis of follicular carcinoma in the thyroid was detected. Total thyroidectomy was done and the patient was referred to higher centre for radioactive iodine treatment.