Abstract Hurthle cell tumours of thyroid are rare neoplasms accounting for less than 5% of all thyroid tumours. We present the case of an 80 year old male with large multinodular goiter in euthyroid state for past 50 years. Initial FNAC impression was papillary carcinoma of thyroid with hurthle cell change. Right hemithyroidectomy was performed and histopathological examination of resected specimen showed features of Hurthle cell adenoma without capsular & vascular invasion. Post operative period was uneventful and patient was discharged with an advice for regular follow up.

Key Word: Multi Nodular Goitre, 50yrs, Large Hurthle cell adenoma.