Papillary thyroid carcinoma presenting with cutaneous fungating mass complicated with myiasis: a case report

Ningombam Jiten Singh, Sudhiranjan TH, Lailyang T, Anita N


Papillary Thyroid Carcinoma (PTC) is the most common type of thyroid malignancy making upto 70-80% of all thyroid malignancies. PTC presenting with extrathyroidal cutaneous fungating mass is unusual. We report the management of a neglected fungating PTC which was complicated with myiasis. Such a case has not been reported earlier in the English literature. Preoperatively myiasis was managed conservatively following which she underwent total thyroidectomy with en-bloc resection of the fungating mass along with adequate skin margin and ipsilateral selective neck dissection. Postoperative period was uneventful and the patient was given radioiodine ablation therapy 4 weeks later.


Papillary carcinoma thyroid, Extrathyroidal, Cutaneous fungating mass, Myiasis

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Alcaraz I, Cerroni L, Rütten A, Kutzner H, Requena L. Cutaneous metastases from internal malignancies: a clinicopathologic and immunohistochemical review. Am J Dermatopathol. 2012;34:347-93.

Howlader N, Noone AM, Krapcho M, Neyman N, Aminou R, Waldron W, et al. SEER cancer statistics review, 1975-2009 (Vintage 2009 Populations). Bethesda, MD: National Cancer Institute; 2012.

Andersen PE, Kinsella J, Loree TR, Shaha AR, Shah JP. Differentiated carcinoma of the thyroid with extrathyroidal extension. Am J Surg. 1995;170:467-70.

Dahl PR, Brodland DG, Goellner JR, Hay ID. Thyroid carcinoma metastatic to the skin: a cutaneous manifestation of a widely disseminated malignancy. J Am Acad Dermatol. 1997;36:531-7.

Nabawi AS, Al Wagih HF, Hemeida MA, Koraitim TY, Moussa M, Ezzat T. Fungating thyroid cancer: a complex clinical scenario. World J Surg. 2012 Mar;36(3):598-606.

Fujimoto Y, Obara T, Ito Y, Kodama T, Yashiro T, Yamashita T, et al. Aggressive surgical approach for locally invasive papillary carcinoma of the thyroid in patients over forty-five years of age. Surgery. 1986 Dec;100(6):1098-107.

Nakahira M, Nakatani H, Takeuchi S, Higashiyama, K, Fukushima K. Safe reconstruction of a large cervico-mediastinal tracheal defect with a pectoralis major myocutaneous flap and free costal cartilage grafts. Auris Nasus Larynx. 2006;33:203-6.

Mazeh H, Chen H. Advances in surgical therapy for thyroid cancer. Nat Rev Endocrinol. 2011;7:581-8.