You still have a left lobe. Normal thyroid makes Tg -- this is not specific for cancer in this setting. Also, Armour (pig thyroid) may have Tg.
Would change to levothyroxine and get a second opinion before considering surgery or RAI. Good neck ultrasound is the key here to identify any abnormal lymph nodes or suspicious nodules on the left.
A 2mm papillary has very low risk overall - be careful not to be over-treated!
Thank you. That's what I was thinking. I'll probably be calling your office this week to make an appointment. Lucky you. :)
Is it possible to get in to see you for a second opinion without a referral? I don't want my current endocrinologist to think I am questioning his recommendation...but I want another opinion. I have all my records with me. I have left a message with your office. The answering machine said your office accepts new patients only with referrals. The ENT surgeon I went to (to see if he could remove the regrowth and nodule) said it was too small and wants to watch it for 6 months. Or should I go back to my endocrinologist and question his previous recommendation of ablation and ask to go on Synthroid (both of which I don't want to do).
Perhaps the first step would be to regroup with your endocrinologist and asked about why ablation was recommended for a micro-papillary thyroid cancer so that that you might better understand his/her thought process.
My current endocrinologist thought I should have HAD an ablation 8 years ago after the partial thyroidectomy (regardless that it was a 2mm subclinical papillary carcinoma). At my last appointment he said I had to see an ENT surgeon to see if the surgeon could remove the regrowth before ablation or just have the regrowth ablated, base on cancer markers. I then met with an ENT surgeon in Atlanta who said "have it out asap". I don't have another appointment with my endocrinologist until Sept. I guess I will wait 6 months to re-evaluate as per the Tampa ENT surgeon who wants to watch the regrowth and nodule, since they are small. I just hope there are no further Hurthle cell growths.