Papillary carcinoma thyroid presenting as hemoptysis

Papillary carcinoma (PCT) is a common thyroid malignancy all over the world. It is commonly seen in elderly females in 5th, 6th decades. The usual presentation is painless mass in the anterior neck. Patient may have the pressure symptoms like difficulty in swallowing, hoarseness of voice, if the mass is large. Patients with metastatic deposit may manifest with headache and backache. Huge swellings with compression over trachea may cause stridor also. We report a case of elderly female presenting with occasional history of hemoptysis since one year. Computerized tomographic scan revealed a mass in the thyroid region with invasion into the trachea. USG guided fine needle aspiration cytology reported as papillary carcinoma. Fiber optic bronchoscopy confirmed the tracheal invasion.