Abstract            Volume:4  Issue-10  Year-2016         Original Research Articles

Online ISSN : 2347 - 3215 Issues : 12 per year Publisher : Excellent Publishers Email : editorijcret@gmail.com

Thyroid nodules are a common clinical problem. Epidemiologic studies have shown the prevalence of palpable thyroid nodules to be approximately 5% in women and 1% in men living in iodine-sufficient area but high resolution ultrasound can detect thyroid nodules in 19%-68% depending to age of patients. The patient is a 64 year old man who was presented to our medical center 7 year after a right hemithyroidectomy due to a large nodule. Fine needle aspiration of the thyroid nodule demonstrated Adenomatous goiter. Pathology of the nodule was follicular variant of papillary thyroid carcinoma with capsular invasion and the patient didn’t any follow up until 8 months ago who came to this center with pain in left Humerus. Lung and bone metastases are a relatively uncommon finding in patients with well differentiated thyroid cancer. Radio Iodine therapy of Iodine-avid bone metastases has been associated with improved survival and should be employed although Radioactive Iodine is rarely curative. Patients undergoing radio Iodine therapy for bone metastases should also be considered for directed therapy of bone metastases that are visible of anatomical imaging. This may include surgery, external beam radiation therapy, and other focal treatment modalities.

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