DOI: https://doi.org/10.36347/sjmcr.2026.v14i04.041

Pages: 761-763

Follicular thyroid carcinoma is a differentiated thyroid malignancy that may remain clinically silent until distant spread occurs. Skeletal involvement, although uncommon, can represent the initial manifestation. We describe a 67-year-old man whose diagnosis was established following a pathological fracture of the femoral neck. Radiological assessment revealed an aggressive lytic bone lesion with additional skeletal deposits. Histological examination confirmed metastatic thyroid carcinoma through characteristic follicular architecture and thyroid-specific immunohistochemical markers. Subsequent evaluation identified a suspicious thyroid nodule. This case emphasizes the need to consider thyroid carcinoma in patients presenting with unexplained lytic bone lesions and highlights the importance of multidisciplinary management in advanced disease.