Abstract
Treatment of follicular thyroid carcinoma (FTC) is well documented in this case. An unusual case of total thyroidectomy, Central Neck Dissection (CND), Left lower parathyroid re-implantation and resection of Right Internal Jugular Vein (RIJV) tumour thrombus followed by second operation of excision of lymph nodes metastasis have been described. Three Radioiodine therapies were delivered to the patient.