Journal of Cytology
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Year : 2000  |  Volume : 17  |  Issue : 3  |  Page : 187-192

Multiple cutaneous metastases of follicular thyroid carcinoma detected by FNAC - A case report and review of literature

1 Professor, Department of Pathology, King George's Medical College, Lucknow, U.P. (INDIA), India
2 Research Associate, Department of Pathology, King George's Medical College, Lucknow, U.P. (INDIA), India
3 Professor, Department of Surgical Oncology, King George's Medical College, Lucknow, U.P. (INDIA), India

Correspondence Address:
M M Goel
Department of Pathology, King George's Medical College, Lucknow - U.P
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Source of Support: None, Conflict of Interest: None

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Multiple cutaneous metastases of thyroid carcinoma are extremely rare. Most patients have an enlarged thyroid gland and blood borne internal metastasis mainly in the bone, lung, liver, breast and kidney. We present here a case of 50 year old male having multiple cutaneous swellings over forehead, nape of the neck, lateral neck, left shoulder and infrascapular region. FNAC was done from different swelling sites and multiple smears were prepared. These smears showed hypercellularity with follicular cells arranged in a microfollicular pattern, showing moderate anisonucleosis; mild features typical of a well differentiated follicular carcinoma of thyroid. A detailed clinical history revealed surgery for carcinoma thyroid 4 years back, diagnosed as follicular carcinoma thyroid (moderately differentiated). Fine needle aspiration cytology alone was found to be sufficient for the diagnosis of cutaneous metastasis of thyroid carcinoma eliminating the need for confirmatory surgical biopsy and immunocytochemistry.

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