PT - JOURNAL ARTICLE AU - Meshikhes, Abdul-Wahed N. AU - Tingura, Mukund AU - Al-Saeed, Jamal Y. TI - Concurrent papillary and medullary thyroid carcinomas with mixed metastases to lymph nodes DP - 2004 Mar 01 TA - Saudi Medical Journal PG - 373--375 VI - 25 IP - 3 4099 - http://smj.org.sa/content/25/3/373.short 4100 - http://smj.org.sa/content/25/3/373.full SO - Saudi Med J2004 Mar 01; 25 AB - We report here a rare concurrence of medullary and papillary carcinomas of the thyroid in a 39-year-old Saudi male. He presented with a solitary nodule of the right thyroid lobe and underwent total thyroidectomy based on the cytological diagnosis of papillary carcinoma. Subsequent detailed histopathologic examination of the thyroid revealed 2 different types of malignancies in the 2 lobes papillary cancer in the right and medullary cancer in the left lobe. A single small lymph node showed metastatic replacement by both cancers. The extreme rarity and the interesting pathological features of such combinations are discussed.