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Ectopic thyroid tissue is reported in 7-10% of adults common in females, especially in populations of Asian origin. Previous reports showed that ectopic thyroid tissue may present metastasis from thyroid carcinoma, and very rarely it may harbor a primary thyroid carcinoma. My patient is a young female patient who presented with submental and left neck swelling and on clinical examination showed that was a mass at the base of tongue and subsequent histopathological and CT scan finding showed that she had ectopic papillary thyroid carcinoma with metastasis to the cervical lymph node, in the absence of orthotopic thyroid. management of this disease.