I was diagnosed 22 years ago with Papillary Thyroid Cancer. Unfortunately, as I was only 20 at the time and naive about this sort of thing, I'm not sure what stage it was and the medical records are long gone. Anyway, I recently had a TSH stimulated Tg level taken which came back as 23.0. This lead to a neck ultrasound that showed "a solid-appearing hypoechoic lesion measuring 6 x 6mm that does not have the appearance of anormal lymph node and exhibits somewhat ill-defined margins and an irregular vascular pattern with some central calcification." My research (and it's been extensive) has lead me to realize this is more than likely a recurrence of the cancer.
I am scheduled for a TSH stimulated whole body scan, which I feel is appropriate, to see if there's cancer anywhere else. I'm wondering, though, what the next step after that should be. Is it better to have surgery to remove what they've found (whether or not they find anything else) or if everything else is negative, should I just have another round (I had 2 rounds when the cancer was initially diagnosed) of RAI? Should both things be done? Surgery, then RAI regardless if the WBS turns up anything else?
Any insight, information, etc.... would be greatly appreciated.