case_images: PMC3504291_01
case_images: Swelling and hemorrhaging at distal part of the right thumb.
case_images: CRIM.ORTHOPEDICS2011-735789.001.jpg
case_images: PMC3504291_01_CRIM.ORTHOPEDICS2011-735789.001.jpg
case_images: fig1
case_images: An eighty-four-year-old right-hand-dominant man, who had a history of thyroidectomey in 2007, presented with a 2-month history of increasing pain and swelling at the distal part of the right thumb (Figure 1).
case_images: Radiological view of thumb: soft-tissue swelling and lysis of the distal phalanx of thumb.
case_images: CRIM.ORTHOPEDICS2011-735789.002.jpg
case_images: PMC3504291_01_CRIM.ORTHOPEDICS2011-735789.002.jpg
case_images: fig2
case_images: Radiological evaluation demonstrated a soft-tissue swelling and lysis of the distal phalanx of thumb, compatible with infection priority or metastatic disease (Figure 2).
case_images: (a) Histopathological specimen of metastatic follicular-type carcinoma of the thyroid gland into the skin and soft tissue of amputated thumb. (b) Well-differentiated epithelium is clearly distinguished (black arrows) with follicular development and colloid (white arrows).
case_images: CRIM.ORTHOPEDICS2011-735789.003.jpg
case_images: PMC3504291_01_CRIM.ORTHOPEDICS2011-735789.003.jpg
case_images: fig3
case_images: While microorganisms were not isolated from the specimen, in histopathological analysis, well-differentiated epithelium is clearly distinguished (black arrows) with follicular development and colloid which confirmed diagnosis of metastatic follicular-type carcinoma of the thyroid gland (Figures 3(a) and 3(b)).