Thyroid carcinosarcoma is a rare and aggressive neoplasm of the thyroid gland, with a recurrent character and a bad prognosis,
despite the introduction of a multimodal treatment that is not yet codied. We present a case of thyroid carcinosarcoma,
number 32 described in the literature, in a 64-year-old man complicating a multinodular goiter that had been evolving for 10 years and which relapsed 6
months after total thyroidectomy. On the anatomopathological level, thyroid sarcoma was mentioned before the microscopic aspect of the tumor and
conrmed by the immune histochemical study. The recurrence was massive requiring the use of tumor reduction surgery that allowed the avoidance of
a tracheotomy and a good locoregional control of the tumor. And yet the patient died of lung metastases 4 months later.