Abstract
It is unusual to find an association between thyroid cancer and hyperthyroidism. The coexistence of insular carcinoma which is a poorly differentiated tumor with toxic nodular goiter is rarely described. The insular carcinoma is very rare, which results in a poor prognosis in front of precocious distant metastases, yet the orbital location of metastases is exceptional. We report here a unique clinical case involving hyperthyroidism and insular carcinoma revealed by orbital and spinal metastases.
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