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@tkj68

Had RAI after total thyroidectomy and central neck disection. Surgery in December 2023 and RAI in February 2024. Everything looked good on scan. November 2024, markers went up and biopsy confirmed PTC in right lymph node. CT showed 10 x 10 x 15 mm right level IV lymph node with internal calcifications, likely involved. It also showed an
8 x 5 x 8 mm right level IV lymph node, indeterminant. I am having a right lateral neck disection tomorrow. All right side lymph nodes will be removed. I am not sure what treatment after. My doctor is meeting with the tumor panel. He is leaning against RAI this time. He is afraid it won't be effective. It depends upon type of metastasis, if it evolves into something different, etc. RAI is usually effective for missed margins. My doctors said they were very surprised my the spread. My PTC was on my left lobe and 2 center lymph nodes. Nobody wants to go through this let alone twice. Praying they get it all for you and treatment is successful, whichever type you do.

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Replies to "Had RAI after total thyroidectomy and central neck disection. Surgery in December 2023 and RAI in..."

Hi
Oh dear...
RAI treatment post thyroidectomy as LOW RISK. I had total surgery with 12 lymph nodes (2 affected). Right side dissection done during op. PAPILLIARY CANCER.

I chose to trust my surgeon who removed a carcinoma in the milk duct of right breast. A cross section in there was done. That was 2005. No radiation thank you. No problems.

I follow Mr Gary Clayman Top USA Thyroid Surgeon. I read my op in the ATLAS HEAD & NECK
he wrote it.

In my 4th year last year the ultrasound showed 77mm radius of calcification. No other ultra-sound pictures have studied this area.

So CT Scan. Inconclusive.
PET scan showed no metatasis. Dot on right lung. Inflamation in my left hamstring, in bladder. None of the calcification areas showed any intake of glucose and iodine.
The Putuitary gland showed warmth. So MRI of the brain and nothing.
No cancer shown but calcification in these 3 areas/
2 lymph modes 8mm and 7mm. Plus another 'thing' 19mm x 9mm ? Surgeon now says it could be my thymus. But this has not been verified in the radiology department.
Another CT scan (with iodine and contrast )done in early November still says inconclusive so another with iodine and contrast will be done in May 2025.
There is a point when we should trust our surgeon. The anaesthetist has p. thyroid cancer returning even though he had 2 bouts of RAI treatment. The RAI treatment is different from RAI Scan. But both need stopping thyroxin (sythroid) for 3 weeks with no iodine in meals.

If cancer is left in the thymus and it is not removed it ill gavatate to lymphoma which my father died of.

We have 50 lymph nodes left and 50 lymph right. Surgically removing them is the most important step.
RAI treatment can do heaps damage to pra and surrouning throat, oesophagus and the actual treatment can cause leukaemia.

cherio JOY (Tucki). 76. (NZ)

Hi
So are the lymphs removed via your initial scar??? At the front lower position????

cherio JOY. (Tuckie)