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Thyroid Cancer, Nodules & Hyperthyroidism (Expert Forum)
Is it safe to wait to do the RAI ablation?
Answered by
Mark Lupo, M.D. - Thyroid Nodules, Thyroid Cancer, hyperthyroidism, hypothyroidism, Thyroid Ultrasound
Thyroid & Endocrine Center of Florida
Sarasota - FL
Questions in the Thyroid forum are answered by Mark Lupo, MD. Topics covered include Goiter, Graves Disease, Hyperthyroid, Parathyroid/Calcium Problems, Thyroid Cancer, Thyroid Nodules/Cysts, Thyroiditis, Thyroid & Pregnancy, Thyroid Stimulating Hormone (TSH), Thyroid Tests, and Thyroid Surgery.
Is it safe to wait to do the RAI ablation?
by hawkfan, May 27, 2007 12:00AM
Last year I had a TT and RAI ablation for follicular and papillary cancer. I am 28. At my one year check up they did a bodyscan and it showed uptake in the thyroid so my doctor wants to do another RAI ablation, but said it wasn't a rush. So I went off my meds for 3 weeks and then my 30 year old husband had a heart attack. My doctor said that we can just wait until after the summer to do the ablation because she feels I have too much on my plate right now. (we have 2 very small daughters that have gone through a lot this past month). So, my question is is it safe to wait. She said the the uptake didn't necessarily mean the cancer was back as much as the thyriod isn't all gone after the first ablation. My next question is what are the chances it will work this time?
Doctor's Answer
by Mark Lupo, M.D., May 28, 2007 12:00AM
, May 28, 2007 12:00AM
Probably safe to wait. Would recommend correlating with Tg levels (assuming negative anribodies) and neck ultrasound. Sometimes uptake on follow-up scans is seen because the remnant (small amount of thyroid tissue remaining after surgery) is not fully ablated by the first dose -- this is where the Tg and ultrasound are useful to further assess the risk. Good luck with all this.
