Abstract
Thyroid carcinoma has excellent long-term outcome for loco-regional disease with adequate treatment, however outcome declines sharply in distant metastatic disease. Axillary lymph nodal metastases (ALNM) are very unusual in thyroid carcinoma with poorer outcome as they are usually associated with aggressive histopathologies, extensive loco-regional and distant metastatic disease. The authors report two patients of thyroid carcinoma with ALNM and their management, and review of literature of such cases.