Cancer follow-up

[LV123]

Dear Dr. Lupo,
My question is in regards to follow-up of my thyroid cancer. Brief history, I had a nodule that grew after 4 years of watching, FNA showed Papillary cancer, had a TT in Aug. 07', RA-I in Oct. {200 Mci, which "I" thought was high}, and follow-up on dose, .150 of Levothyroxine. 6 month TSH was 0.09, Free T4 was 1.3, the TG was sent to Mayo Clinic and the result was great at less than 0.01. I am very grateful that it was undetectable!!  My WBS showed uptake in the thyroid bed only.My endo said that follow up would be in 6 months and that it would just be the TG test, It worries me after reading on here and thyroid board that it seems everyone has additional WBS' and at least ultrasounds, cat scans, etc. for follow-up. Is TG monitoring sufficient? I have been told my endo is the best in the state of MI. but I can't help wondering if I need a second opinion? My tumor was 1.2 cm encapsulated, confined to the right lobe, papillary. Please answer on your opinion if this is sufficient follow-up? Also, can I ask, does 200mci seem high? He said they don't fool around with lower doses, they want to be done with it. Thank you for answering my 2 questions!!!
I am doing well, and want to continue doing well for my 3 kids.
Lori

[AR-10]

Dr. Lupo is at the following forum;

http://www.medhelp.org/forums/show/120

It may take a few tries to get your question posted. That forum only accepts so many questions per day.

Maybe one of the more experienced members here could help you, as well.

Best of luck to you.

[utahmomma]

Hi Lori,

As AR mentioned, this is the patient to patient forum.

However, as a thyroid cancer survivor (with a HUGE family history of it too), I know a bit about it.  After having RAI, tracking your TSH and TG every 3-6 months is standard protocol.  With the lack of metastases and the dosage of RAI you were given (200 is high but not over the top), following your labs is considered the best indicator of any recurrence.

Utahmomma
papillary carcinoma '03
recurrence and RAI '06 and probably '08
three sisters with papillary carcinoma (one with three recurrences)

[LV123]

Oops, sorry. Thanks for the comments. I still feel uneasy about the follow up. The best to both of you!!