Abstract

Follicular carcinoma thyroid (FTC) is the second most common category after papillary variety with relative incidence estimated from 10-20%. Follicular thyroid carcinoma (FTC) rarely develops in a preexisting multinodular goiter (MNG) and tends to metastasize to lungs and bone through the blood-stream. The latency period for conversion varies significantly. We herein report a 48-year-old female presented with thyroid swelling since seven years with recent onset of multiple painful swellings over sternum and skull confirmed as a case of FTC on core needle biopsy. Considering her low socioeconomic status and advanced stage of the disease, she was treated with external beam radiotherapy (EBRT) and showing good response to EBRT at 6 months follow-up without any new bone secondaries thereafter.

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