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Case Reports in Medicine
Volume 2014, Article ID 516549, 4 pages
Case Report

Occult Papillary Thyroid Carcinoma Metastasis to the Sacrum and the Skull: An Unusual Presentation

Department of Surgery, Division of Surgical Oncology, Tawam Hospital, Al Ain, Abu Dhabi, UAE

Received 4 August 2014; Revised 26 October 2014; Accepted 9 November 2014; Published 8 December 2014

Academic Editor: Aaron S. Dumont

Copyright © 2014 Fatima S. Jouhar et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


This case represents occult follicular variant of papillary thyroid carcinoma (FVPTC) with large metastasis to the sacrum. The patient, a 42-year-old female, presented after hemithyroidectomy for benign follicular adenoma with lower back pain associated with fever and sweating. A lytic lesion of the left sacral bone was found on the CT with biopsy showing metastatic carcinoma with morphology and immunophenotype of thyroid gland primary tumor proven to be FVPTC. The patient had completion thyroidectomy with benign pathology.