Papillary carcinoma thyroid presented with extensive local lymph nodal metastasis

Amongst thyroid malignancies papillary carcinoma is the most common form. It usually remains intrathyroid and carries good prognosis. In our care, it was presented with rapid onset of clinical manifestations within 2 months duration. A 54 years old male patient had history of change in voice, enlargement of thyroid with multiple cervical lymphnodes enlargement. On fine needle aspiration cytology, ultrasonography, computed tomography scan neck diagnosed as malignant thyroid lesion. He underwent total thyroidectomy with left cervical radical neck dissection. On histopathology showed invasive papillary carcinoma with extensive nodal metastasis.