Thanks for this helpful site. I had a tt last week for what was found to be stage 1 papillary carcinoma follicular variant. 7 year history of Hashimotos, multinodular monitored every year with US. Path showed 3 lesions: 1 on right lobe 9x5x3mm and 2 on left 1mm and 4mm. Neg nodes. No family history of thyroid or any autoimmune disorders. No history of radiation. Excellent health. 41 years old. My surgeon said she would have RAI, even if it were unifocal. My endo advises against RAI citing there is no evidence to show that it proves beneficial to stage 1'ers. He said Mayo/Sloan and others would probably advise against RAI in my case. Washington Hospital Center and others would probably be for it. He calls it a "grey" area. He mentioned briefly that if I did decide to take RAI I may consider a smaller dose. Could you please direct me to the latest recommendations and provide your opinion on?
Would you advise RAI for my case? If so, how much?
Is 30mci enough to ablate remenant tissue (estimated 5percent remains).
What are the stats on increases in breast, bladder, other cancers after RAI treatments?
What and how effective are monitoring tools for non RAI patients? (US, does Tg work with antibodies, TSH)
What are percentage recurrence rates in Stage 1'ers w/ vs w/out RAI? W/ 30 vs 150mci doses?
Is there any harm in waiting to do RAI or are there benefits to being done post op?
My endo says "we don't want the cure to be worse than the disease". I'm now in cytomel limbo trying to decipher ATA guidelines and mounds of other literature to make an informed decision. would love to have your thoughts. Thanks!