HighlightsA rare case of cutaneous metastases in a thyroid cancer reported.Usual features of FVPTC with a rare feature.High index of suspicion required to help make diagnosis.Histological analysis indispensible in arriving at confirmation.Multi-disciplinary approach in management post surgical intervention required.

A lump in the scrotum is a common presentation in most surgical clinics. However, myoepithelial tumours may not be up on the list of differentials. Although they may look benign, myoepithelial tumours are rare and have malignant potential. Treatment of these tumours involved total excision and adequate follow-up in cases of malignancy. These groups of tumours have not been reported in the scrotum in the past, but their occurrence in the vagina may not come as a surprise bearing in mind the embryonic origin of both organs.

Horseshoe kidney (HSK) is a very common developmental abnormality in the kidney. They are associated with abnormalities like multiple renal arteries, abnormal position of the ureter in the renal pelvis and highly placed ureteropelvic junction. These can result in urological complications. However, the ureters run their separate course and empty individually into the urinary bladder. Surprisingly, anatomical anomalies do occur and can lead to unexpected findings on investigation or surgical treatment. Such anomalies can present diagnostic and management challenges to unsuspecting clinicians. This report deals with one of such anomalies that seem not to have been reported before in the literature. This case is a rare finding of fused ureters over the renal isthmus in a patient with HSK who also has aortic abdominal aneurysm (AAA). Simultaneous occurrences of HSK and AAA have been reported severally in the past, and the authors are paying attention on the ureteral anomaly.

Thyroid cancers (CA) account for about 0.4% of all CA deaths. It is thus very important to be able to determine the type of CA in view of the differing prognosis and possibility of the CA being a secondary from other glands like the Salivary gland. Mucoepidermoid CA is an extremely rare form of Thyroid CA and not much is known about its origin, disease course and treatment. While some think it originates from the Salivary gland, others believe it comes from Ultimobrachial body cell nests. It seems to be slow growing but it also has some metastatic properties. Generally, total thyroidectomy has been suggested as treatment due to lack of adequate information about the disease. The authors want to present a rare finding of Mucoepidermoid CA in a Thyroid lump.