Abstract
Follicular thyroid carcinoma most commonly metastasises to the lungs, liver, and non-cranial bones. Where skin metastases have occurred, this has been in the context of diffuse metastatic disease, and most commonly occur in the scalp. Cutaneous deposits in the neck have been described in papillary thyroid carcinoma, but we believe this to be the first description of cancer recurrence presenting as cutaneous metastatic follicular thyroid carcinoma. A pigmented skin lesion in a patient with a history of thyroid cancer could represent a metastasis and should be treated with suspicion.
Highlights
Thyroid cancer deriving from the thyroid follicular cells include papillary, follicular, and anaplastic carcinomas
What does this study add? We report a case of cutaneous recurrence of follicular thyroid cancer to the upper neck distant to the thyroid
We describe a case of follicular cell carcinoma presenting seven years after treatment with a cutaneous lesion in the upper neck distant to the thyroid
Summary
Thyroid cancer deriving from the thyroid follicular cells include papillary, follicular, and anaplastic carcinomas. We report a case of cutaneous recurrence of follicular thyroid cancer to the upper neck distant to the thyroid. BTA guidelines advise that Thyroid cancer patients can be discharged after 5 years and so new metastasis can present to dermatology.
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