An Unusual Presentation of Recurrent Follicular Thyroid Carcinoma

Around 1500 new cases of thyroid cancer are diagnosed each year in the United Kingdom, being responsible for around 320 deaths annually. Detecting recurrent thyroid carcinoma is important for the speedy imposition of treatment regimens, but occasionally detecting subsequent disease can be problematic. Bone is the commonest site for distant thyroid carcinoma metastases, but other sites such as the parapharyngeal space are not unknown. We describe the case of a patient presenting with recurrent follicular thyroid carcinoma following total thyroidectomy in which bilateral internal jugular vein thrombosis, in association with a right jugulodigastric mass were the main features. We believe that this is the first such report of a recurrent follicular carcinoma of the thyroid presenting in this manner.