Abstract
Over 80% to 90% of thyroid tumours are papillary thyroid carcinoma, the most prevalent well-differentiated thyroid cancer. It carries favourable prognosis which is well documented. Due to delayed consultation and, thus, late detection, rarely cases of papillary thyroid carcinoma may present with large growth, creating difculties for decisive care, quality of life, overall survival, and prognosis. We report a case of a 51-year-old who presented with 4-year history of neck mass and 2-year history bleeding ulcer over the swelling. On examination, the ulcer had maggots and cytological study conrmed Papillary thyroid carcinoma. After pre-operative optimisation, patient underwent Total thyroidectomy with central neck dissection followed by radioactive iodine ablation 4 weeks later. Patient was on regular follow up for 1 year and reported no complaints
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