BMJ Case Reports 2011; doi:10.1136/bcr.11.2010.3518
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Large skull metastasis of follicular thyroid carcinoma

  1. Noriyuki Susaki4
  1. 1Department of Endocrinology and Diabetes, Nagoya Medical Center, Nagoya, Japan
  2. 2Department of Pathology, Nagoya Medical Center, Nagoya, Japan
  3. 3Department of Surgery, Nagoya Medical Center, Nagoya, Japan
  4. 4Department of Neurosurgery, Nagoya Medical Center, Nagoya, Japan
  1. Correspondence to Tsutomu Yamada, yamadat{at}


A 62-year-old woman presented with gradual enlargement of a tumour mass on her head. She had first noticed it about 2 years previously, but it had started to enlarge several months before she came to our clinic. She was alert but reported mild headache and nausea. We found a large soft and elastic tumour on the left temporal and occipital region of her head. Thyroid tumour was undetected on palpation. Head CT and brain MRI revealed a large tumour; three-dimensional CT showed skull bone destruction …

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