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. Although follicular thyroid carcinoma is a rare malignant  tumor, up to 20% of the patients are threatened by potential complications  resulting from infiltrating tumor growth into surrounding tissues. Case  report. A 66- year-old female came to hospital with the presence of a  growing thyroid nodule of the left lobe. Ultrasonic examination showed a 8  cm hypoechoic nodule in the left lobe. Thyroid scintigraphy showed a cold  nodule. CT scan and tracheoscopy showed tracheal infiltration without  tracheal obstruction. An extended total thyroidectomy was done, with the  left jugular vein, strap muscles and tracheal 2 cm long circular resection.  The pathologist confirmed invasive follicular thyroid cancer. After the  surgery the patient was treated with radioiodine therapy and permanent TSH  suppressive therapy. The patient was followed with measurements of the  thyroid hormone and serum thyroglobulin level every six months, as well as  the further tests (chest xray, ultrasound of the neck and a whole body  scintigraphy) were done. After more than three years the patient had no  evidence of the recurrent disease. Conclusion. Radical resection of the  tracheal infiltrating thyroid cancer with circular tracheal resection and  terminoterminal anastomosis followed by radioiodine therapy should be  considered the treatment of choice

Invasive follicular thyroid carcinoma infiltrating trachea