PT - JOURNAL ARTICLE AU - Alherabi, Ameen Z. AU - Marglani, Osama A. AU - Gazzaz, Malak J. AU - Abbas, Mohammed M. TI - Colon cancer metastasis to the thyroid gland DP - 2014 Aug 01 TA - Saudi Medical Journal PG - 868--871 VI - 35 IP - 8 4099 - http://smj.org.sa/content/35/8/868.short 4100 - http://smj.org.sa/content/35/8/868.full SO - Saudi Med J2014 Aug 01; 35 AB - Thyroid metastasis originating from colon cancer is an uncommon clinical entity. We present a case of a 40-year-old Saudi male patient that was known to have metastatic adenocarcinoma of the colon, and who presented initially with hoarseness of voice. A left thyroid lesion was found and fine-needle aspiration biopsy showed that it was a colon cancer metastasis. His condition later deteriorated with development of stridor. Tracheostomy was performed and the diagnosis was confirmed by biopsy. A high index of suspicion is required to consider colorectal carcinoma metastatic to the thyroid.