Hombro doloroso y metástasis en escápula secundaria a carcinoma folicular tiroideo

Follicular thyroid cancer commonly occurs as a solitary thyroid nodule and rarely as metastasis. Following the dematogenous route and lung metastasis, the second most frequent site of these metastases in follicular thyroid cancer is the bone tissue. A clinical case is presented of a 70-year old woman who reported drug treatment-resistant moderate-severe left shoulder pain, without general accompanying symptoms (weight loss, hyporexia and asthenia). The simple x-ray and computed tomography showed bone resorption of the scapula. She was treated with external radiotherapy with good clinical course. We are presenting this clinical case in order to stress the etiology of a shoulder pain that is refractory to treatment and which, uncommonly, originated in a stage II well-differentiated thyroid cancer diagnosed 13 years ago.