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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.
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