“…Conversely, in the follicular form, haematogenous metastases are more frequent, mainly affecting the lungs and bones [14]. Hurthle cell carcinoma is follicular in origin, with at least 75% of the cells being Hurthle cells and having capsular and/or vascular invasion [16]. The Hurthle cell is characterized cytologically as a large cell with abundant eosinophilic, granular cytoplasm, and a large hyperchromatic nucleus with a prominent nucleolus.…”