PMC4353927_01
Metastatic papillary carcinoma of the thyroid in the dermis and subcutaneous tissue of the scalp (H&E, 4x).
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Histological evaluation showed a metastatic papillary thyroid carcinoma (Fig. 1).
Follicular variant papillary carcinoma of the thyroid. Follicles are of varying size and contain hyper-eosinophilic colloid. The classic nuclear morphology seen with this type is clear and enlarged, with margination of chromatin. (H&E, 20x)
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Histology confirmed a 25 mm sized FVPTC pT2N0M1 tumor (Fig. 2).
Macroscopic picture of the Scalp metastases on the fronto-temporal aspect of the patient.
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About 1 year post left total thyroidectomy, patient presented in the surgical outpatient clinic with a hemangiomatous ridge-like lesion on the scalp (Fig. 3).
Multiple pulmonary nodules in both lung fields, more in lower zones.
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CXR (Fig. 4) showed multiple pulmonary nodules in both lung fields, more in lower zones.
Macroscopic picture of the healed scalp lesion at one year and 7 months (19 months).
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The scalp wound has healed completely (Fig. 5).