Nasal tip metastasis: an unusual site and mode of spread in anaplastic thyroid carcinoma

Anaplastic thyroid carcinoma (ATC) is the most aggressive and lethal form of thyroid malignancy which is difficult to treat. At the time of diagnosis, majority of patients have distant metastases most commonly in lung, bone, and liver. However nasal tip metastasis is not reported in literature. Implantation of malignant cells on nasal tip is also unknown. We hereby report an interesting and unusual mechanism for nasal tip metastasis in a patient with ATC.