Abstract
Context: Follicular carcinoma of the thyroid presenting as a distant metastases is rare. Case Report: We present a rare case of a 42 year old patient with follicular carcinoma of the thyroid who presented with pathological fracture of the tibia at the time of diagnosis. The cytological samples from the fracture site showed follicular neoplasm. Histopathological study of the resected thyroid specimen showed a tumor with capsule and vascular invasion. Conclusions: The present case emphasizes that it is unusual for this neoplasm to initially present as distant metastases, although metastases in the late stages of the disease is more common presentation. Thyroid follicular carcinoma should be included in the differential diagnosis in cases of extrinsic tumoral lesions.
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