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2nd surgery or radiation again

Posts: 7
Joined: Nov 2006

I had thyroid removed in May 05, have done the radation I131 and had 2 or 3 scans. Last scan was a month ago, this scan was good, but by Tg levels went from a 2 to a 20. This was the first time I had ever heard about your this blood test. I had been trying to figure out the TSH tests. Now my oncologist says it may or may not be cancer in residual thyroid. I did a PET scan it was good. He is suggesting to a 2nd surgary to remove any residual that the radiation hasn't been able to get, but heres is the kicker. My endo dr thinks I should do radiation again rather than surg. I am going in to a meet a different doc that my oncologist is referring me to next week. What would you do???? Has anyone else had to choose. Does a 20 a for sure cancer. He was unclear on this to me?

alliesnene's picture
Posts: 23
Joined: May 2005

It sounds like your oncologist is guessing that there is residual tissue in the thyroid bed. It also sounds like you had positive results from RAI last time you had a dose. I think I would go with RAI again and talk to your endo to give you the highest dose possible. I have had 6 surgeries for papillary ca, and several RAI doses. My case is advanced, been 13 years now. But I would always choose RAI over surgery!
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