I had a Total Thyroidectomy, my lymph nodes too were removed on 1.7.2011 as I was found to have Papillary Throid Cncer 6cm. I am 68 years old. I am now on lThyroxine 100mg per day plus Calcium 200mg. per day
I have to go for my first review to check on T3/T4/Cal/TSH/TGB on 4.8.2011. Can my cancer be cured with the taking of Thyroxine without having to go for the 1-131 Treatment. Please advice as I understand that the l-131 Iodine treatment causes a lot of problems later on. Is it true Doctor.Please advice.
Dear Doctor Mark - After having the RAI Treatment, would I completely cured. Is there any reservation in my food intake after the above treatment. So physician say that I may have only a life-span of another 3-5 years due to this cancer, even after the treatment. Is it true?
Please advice as to whom should I see next to clear the air and doubts.
Can I postpone the RAI Treatment to another 2 months from 4.8.2011 to 4.11.2011 and in the meantime carry on taking my L-Thyroxine medication. Will it have any adverse effect due to the postponement.
Thank you Doctor.
RAI would decrease the risk of recurrence.
3-5 years would be very atypical - most patients have a 90% or more 10 year survival.
Usually we do RAI 6-12 weeks after surgery, having stopped L-T4 for about 3 weeks prior to the dose. I don't know enough details on your case to comment on risks of delay in treatment. You should discuss this with your treating MD.
Best to have this coordinated by a thyroid cancer treatment center -- either an endocrinologist who focuses on thyroid or a nuclear medicine (or radiation oncology) center.
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