1415I N A 60-YEAR-OLD male with a 14-year history of viral hepatitis and liver cirrhosis, an ultrasound examination of the thyroid gland (2002) revealed a 10/8 cm hypoechoic lesion in the left thyroid lobe with partially retrosternal location, unclear outlines and microcalcifications. Fine-needle aspiration biopsy (FNAB) cytology result was follicular adenoma but follicular type of papillary thyroid carcinoma could not be ruled out. The patient was admitted for surgery in our institution in October 2002. Intraoperative examination revealed left thyroid lobe, 12/10 cm in size, with hard consistency; the strap muscles as well as the lymph nodes in the central cervical compartment of the neck and the inferior thyroid artery were also invaded. There were no macroscopic changes in the right thyroid lobe. Thyroidectomy with selective cervical node dissection was performed. On macroscopic examination of the specimen, some green-yellowish areas (1) with extratumoral location (2) were found (Fig. 1). Hystologic result was follicular type of papillary thyroid carcinoma in the left thyroid lobe (1), metastases from hepatocellular carcinoma in the same lobe (2) (Fig. 2A); tumor emboli from papillary (1) and hepatocellular (2) carcinoma in the vessels (Fig. 2B); adenoma of the left inferior parathyroid gland (Fig. 3); focci of papillary thyroid carcinoma and focci of hepatocellular carcinoma in the ipsilateral lymph nodes from the central cervical compartment (Fig. 4).