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Papillary thyroid cancer (PTC) is an indolent differentiated thyroid cancer with high risk of cervical lymph node metastasis. It usually presents with thyroid nodule or lateral neck node at level III or IV. Cutaneous involvement by primary thyroid nodule or neck nodes is uncommon. Literature search has shown few cases with fungated thyroid mass and only one case with ulcerated lateral nodal mass. The case report is about management of a rare neglected case of papillary thyroid cancer presenting with large ulcerated lymph node mass involving level IB to V.