Follicular Thyroid Carcinoma with Unusual Pulsatile Sternal Metastasis: A Rare Case Report

Follicular thyroid carcinoma (FTC) seldom develops sternal metastases; just 15 cases have been documented in the literature, and the majority of these cases arise from lung and breast cancer. We present a 72 - year - old female patient who presented with swelling over the upper part of the sternum for 1 month. The swelling was insidious in onset and associated with pain and pulsatile. Total thyroidectomy was performed and postoperatively chemotherapy was started in the form of bisphosphonates. Patients with FTC can be treated with total thyroidectomy and systemic therapy i. e. chemotherapy in the form of bisphosphonates, especially in cases of sternal metastasis, and lifelong thyroxine where required, hence inferring real survival benefit.