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Management of a Lacrimal Duct Tumor with Metastasis to the Thyroid

Kenneth Yan, Jonathon Russell and Joseph Scharpf

Metastatic cancer to the thyroid gland is rare, and indications for subtotal thyroidectomy versus total thyroidectomy are poorly defined. Here we present the first reported case of a patient with a thyroid metastasis from a primary lacrimal sac squamous cell carcinoma. This patient was originally managed with a thyroid lobectomy, but later underwent a completion thyroidectomy. This case is unique in scope and illustrates some of the considerations in determining the best surgical management for thyroid metastases.