Follicular carcinoma of thyroid presenting as widespread metastases

Abstract

Follicular carcinoma of thyroid is the second most common thyroid carcinoma accounting for 10-20 %of all thyroid malignancies, most commonly seen above 40 years of age. Distant metastases at the time of diagnosis is 11-20 %, usual presentation is asymptomatic solitary intrathyroid nodule. Its metastases is hematogenous, lung and bone are most commonly affected. Skull metastases is the unusual site of presentation. The present case of 60 year female presenting with skull , chest wall swelling, spine, lung metastases but asymptomatic thyroid lesion, is unusual.