Trying to make the best decision

[jhull]

Hello-

I'm a 29 mom of 2 little ones. Last week I was told that I have minimally invasive follicular carcinoma after removal of a 4cm tumor in my right thyroid lobe. My doctor is recommending completion thyroidectomy and RAI. I have two questions:
1. Is there any other way to determine metastasis besides RAI? I've been reading about hCG and AMAS tests, but need to know more.
2. My baby is only 3 months old and I've been told I need to stop breastfeeding before RAI. Would it seem reasonable to wait 6 months to finish nursing, since this is slow growing and RAI is so effective?

Thank you.

[Mark Lupo, M.D.]

With a 4cm follicular cancer, I would agree w/ completion thyroidectomy and eventual I-131 treatment.  The I-131 could be delayed without significant risk until nursing is completed.  There is no other alternative treatment options (besides observation w/ no additional therapy - which is not our first choice).  I-131 is the most specific for metastasis survery, HCG and AMAS have little to no role.

[jhull]

Thank you so much. This is unbelievably stressful and unexpected! I'm meeting with the endocrinologist tomorrow and I'm trying to find out if there's any way to save my thyroid. Frankly, the things I read on this forum really have scared me regarding RAI and thyroid replacement therapy.

I appreciate all prayers and positive thoughts that come my way!
-Jana

[skypeople]

just wanted to say I am so sorry you have been diagnosed with cancer at such a young age.  my prayers are with you