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Further evaluation and subsequent thyroidectomy confirmed the origin of widespread internal disease, followed by definitive excision of scalp lesions and multimodal management of systemic involvement. Whereas presentation of metastasis to the skin is highly variable, a low threshold for biopsy may allow for histological identification of internal disease not otherwise considered in the clinical differential.<\/jats:p>","DOI":"10.1136\/bcr-2017-222552","type":"journal-article","created":{"date-parts":[[2018,6,18]],"date-time":"2018-06-18T04:55:10Z","timestamp":1529297710000},"page":"bcr-2017-222552","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Concurrent metastases of papillary thyroid carcinoma to the scalp and Meckel\u2019s cave"],"prefix":"10.1136","volume":"2018","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1637-5854","authenticated-orcid":false,"given":"Patrick S","family":"Phelan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jamie 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