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Low-dose irradiation of the neck in childhood is associated with a markedly increased incidence of thyroid cancer. Such carcinomas have almost all been well differentiated, papillary or follicular types. This paper describes the development of metastatic anaplastic thyroid carcinoma in cervical lymph nodes a year after subtotal thyroidectomy for well-differentiated papillary carcinoma in a 32-year-old man who had had low-dose cervical irradiation at the age of 7 years. It appears that irradiation-related thyroid carcinomas, in at least a very small number of people, may be associated with aggressive carcinoma.
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