Abstract:

Papillary thyroid cancer can usually metastase the neck lymph glands. Although distant metastases are often seen as solid organ metastases, very rarely they can make skin metastases. In this study, we aimed at presenting the papillary thyroid cancer phenomenon that applies to skin metastasis as the first discovery of remote organ metastasis. A 63-year-old man with a skin injury on the left side of the neck. 14 years ago, a subtotal thyroidectomy was performed and malignity in his pathology was not detected, the exotic biopside of the newly developing neck in the left side of the follicular variable papillary cancer was detected. In the USG made, the IAB of the 12x10x8 mm hypereconic nodule in the left lob was considered Bethesta 3. In Toraks BT was detected harmful injury with bilateral multiple lung metastasis and the bigger nodule-made trucut biopsy was in harmony with the metastasis. Total thyroidectomy was performed and cancer was not detected in the pathology. The patient received postoperative multiple RAI treatment. Patients with no history of thyroid cancer can very rarely be present with skin metastases and thyroid cancer should not be ignored in the distinctive diagnosis. Despite careful assessment of the thyroidectomy specimum performed after skin metastasis, the thyroid tumor may not be detected. In papillary thyroid cancer, skin metastasis should be considered as a remote metastasis and should be investigated in terms of other remote metastases, treatment should be planned multidisciplinary. (SETB-2021-05-150)

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