Papillary thyroid carcinoma, the most common subtype of thyroid malignancy, rarely presents with cutaneous metastasis. Despite metastatic cutaneous lesions presenting as slow and indolent growing nodules of the head and neck, such lesions most frequently appear in the setting of diffuse and dramatic metastatic disease and portend a bleak prognosis. Given the rarity of these metastases, the diagnosis may be delayed and often the initial diagnosis is incorrect. Several case reports have been published in the literature noting unusual or interesting presentations of thyroid carcinoma with cutaneous metastasis. Herein we present a patient with a prior diagnosis of thyroid carcinoma presenting with a slowly growing ulcerated nodule on the neck nine years after partial thyroidectomy. Characteristic histopathology was found on microscopic examination. In addition, we review the literature regarding papillary thyroid carcinoma with cutaneous metastasis and the diagnostic challenge these lesions present to practitioners.

No abstract

No abstract

No abstract

We report on a 63-year-old male who was found to have an acrochordon on his plantar foot. Although acrochordons constitute a common benign clinical finding, this observation represents, to our knowledge, only the second case reported on the foot and the first occuring on the plantar surface.