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Papillary Thryoid cancer help

by Danny2008, Feb 10, 2009 05:53PM
Hi Doc,

I wrote in the past regarding my thyroid cancer.  A full history below:
TT Dec/07 for papillary thyroid cancer.  1 nodule on the right side of the thyroid.
WBS with 2 mCuri showed neck uptakes. 150 mCuri Post ablation dose showed neck and 1 questionable uptake in left lung.  A CT later reveal no mass where the WBS uptake in lungs.  The CT also reveal a 2mm non-calcified nodule in a difference place.  I was told it is unlikely metastatic disease.  

5/2008
right side neck dissection of 11 nodes, 4 came out positive for Papillary cancer.
10/2008
TG still elevated at 6.1.  I was sent for a 200 mci ablation dose at columbia presbyterian medical center.
WBS scan revealed 1 node at superior mediastinum.  I was told it is a small node or nodes.  
1/2009  
3 months post 200 mci dose, tg dropped to 4.8.  
2/2009
Chest CT non-contrast revealed no metastatic disease or nodes.  

I need your advices on whether this 200 mci dose will likely ablate the remaining disease?  Or, will surgery be needed to remove these nodes?  I as told RAI treatment takes up to 1 year to work?  Is it usually the case?
Would the trial Sutent Drug be an better option to surgery?  Also, if alcohol ablation is an option to surgery?

Thank you in advance.

PS, your previous reply gave me so much confidence in fighting this disease...

Danny/NYC


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