V.3.2 Recurrence of thyroid follicular carcinoma

• A 65 years old women presenting with a history of lump in the neck for5 years.
• Sudden increase in size recently.
• Pain on and off.
• No change in voice.
• No difficulty in breathing.
• She has undergone thyroidectomy 2 years back.
• The specimen is that of a nodule with an overlying skin.
• The skin appears streatched over the nodule.
• The cut section shows a well demarcated pale white solid homogeneous nodule almost adjoining the streatched skin.
• The cut surface of the nodule also shows haemorrhagic areas in parts.
• Histology confirmed a follicular carcinoma of the thyroid with capsular and vascular invasion.