Would you give a second round of therapeutic RAI in a patient with PTC s/p total thyroidectomy and I-131 ablation who is found to have recurrent disease in cervical lymph nodes s/p repeat neck dissection?

Topics: Endocrinology • Thyroid Disorders

What dose of RAI would you consider giving if recommended?

Answer from: at Academic Institution

There is very limited clinical information provided. Thoughts and possible direction for further work up. RAI is not routinely indicated after cervical "recurrence" in a previously RAI-treated patient. Also depends on the extent of residual cancer status post-recent neck dissection surgery. Wha...

Comments

at BMCWorking Well Occupational Health Clinic
Management of thyroid cancer with recurrence shoul...

at Franciscan Endocrine Associates At St Joseph
Thank you Dr. @Lee! Do you usually give Thyrogen t...

Answer from: at Academic Institution

I agree with Dr. @Abraham. The decision to give additional RAI is dependent on the results of the second surgery (positive margins? extranodal extension? all known diseases removed successfully?), the post-operative TG, and whether other imaging has indicated that residual thyroid cancer may reside ...

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