Hi Doctor. I'm wondering what the standard practice is for post I-131 thyroid cancer ablation. I'm getting my first thyrogen assisted whole body scan on Friday and wondering if I would repeat this for another five years or so, or if blood tests to check thyroglobulin levels are going to be considered enough. I hate doing the low-iodine diet in preparation, but want to do what is considered the "gold standard" (as one doctor once put it to me) in post papillary thyroid cancer care and would like to choose a doctor (if I decide to change endocrinologists at some point) that follows through with good follow-up for me! Thank you!
For low risk patients who have had thyroidectomy and remnant ablation, I-131 scanning may not be necessary at all, but most still do it. A one-time thyrogen stimulated throglobulin level 9-12 months after initial treatment may be all that is needed (assuming a negative result -- <1-2). Then good ultrasound follow-up and suppressed Tg levels. IF higher risk or Tg-Antibody positive, then the I-131 WBS may be more regular/useful part of follow-up. In general, the combination of Tg levels and good ultrasound will pick up most recurrent/persistent cancer.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.